Fishing with My Father

Registration Form

Sat. June 14^th, 2008 – 09:30am - 03:30pm

Name _____________________________________________

Address ___________________________________________

___________________________________________________

Email ______________________________________________

Phone _________________

# of children fishing _____  x $4.00 = $______

# of adults fishing   _____  x $8.00 = $______

Checks Payable to IGRCUMM

                                  Total ______

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