REGISTRATION
CAR AND DRIVER - $35
NAME ___________________________________________________________
ADDRESS ________________________________________________________
CITY ____________________________________________ STATE _________
ZIP _________________ PHONE (____________) ________________________
APPROXIMATE MILES FROM HOME ___________ TRAILERED ( Y ) ( N )
NAMES OF GUESTS - $15 each
___________________________________________A bus trip to Longenberger Baskets and Dresden is being offered on Thursday for $ 20 a person. You must pre-register for this trip.
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Quantity |
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Total |
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Car & Driver $35 |
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Guests $15 |
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Bus Trip $20 |
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Total Due |
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Enclose a check to Early Times Chapter, POCI and send to:
David Luken
Questions: Call (309) 523-3870 416 ½ Barber Creek Road
or e-mail dbluken@qconline.com Port Byron, IL 61275