Covering all of the Top Prospects in the Northeast & also including the National Prep Bible 2015-2016 Subscription Form (July 1, 2015 – June 30, 2016) Payment accepted by check (payable to New England Basketball Services) and mailed to 6 Joelle Drive, Portland, CT 06480 or credit card (subject to a 5% fee) upon request of Paypal invoice Federal Tax I.D. #14-1973745 Sample reports, completed W-9, and more information available at www.NortheastRecruitingReport.com or by contacting Adam Finkelstein (phone: 860-214-2710; email: ADFinkelstein@gmail.com) School Name: _________________________________ Check One: Gold ($500) _____ Silver ($375) _____ Basic ($200) ______ Head Coach: ________________________ Phone: ____________________ E-Mail: _____________________________________ Assistant Coach: _____________________ Phone: ____________________ E-Mail: _____________________________________ Assistant Coach: _____________________ Phone: ____________________ E-Mail: _____________________________________ Assistant Coach: _____________________ Phone: ____________________ E-Mail: _____________________________________ Dir. Operations: _____________________ Phone: ____________________ E-Mail: _____________________________________ For more information on the service, pricing structure, an anticipated report schedule, completed W-9, or a statement of NCAA compliance please visit www.NortheastRecruitingReport.com. By subscribing, I understand that the Northeast Recruiting Report is copyrighted material meant only for my private use. I agree not to copy, transmit, or forward the report without the prior written consent of Adam Finkelstein and understand that unauthorized use of this material will result in prompt loss of subscription rights. Signature: ________________________________________________