Publishers-Terry and Sam Siegfried
Norfolk 2007 Registration Sheet
NAME: ___________________________________________________________________________________________________________________
ADDRESS: ________________________________________________________________________________________________________________
Registration Fee:
| ____ | $25.00 per person(s) attending | $ __________ |
| Dues per Shipmate: 06/07 dues $10.00 (or more if you wish | $ __________ |
Banquet Fees:
| ____ |
Person(s) @ $33.00 per person |
$ __________ |
Selection of Entrée:
| Shipmate | _________________________ | |
|
Guest(s) |
_________________________ | _________________________ |
| _________________________ | _________________________ | |
| _________________________ | _________________________ |
How would you like your name(s) to appear on the name tag(s):
| Shipmate | _________________________ | |
|
Guest(s) |
_________________________ | _________________________ |
| _________________________ | _________________________ | |
| _________________________ | _________________________ |
Please mail this sheet with your check to:
Eugene Wamsley, 969 St. Rt. 28 Lot 6, Milford, OH 45150
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