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Registration
Form
Central
District FUTIAWA Meeting
James B. Ward Agricultural Center
Veteran's Building, Lebanon Tennessee
Thursday, April 23, 2009, 10:30 a.m.. CDST
Please
reserve lunch for _______ people x $12.00 each = $____________
Name:
______________________________________________________
Street:
_____________________________________________________
City,
State, Zip: _____________________________________________
Phone:
______-______-___________
Names
of Guests:
__________________________________
__________________________________
__________________________________
Please
print form, fill in the necessary information, make check payable
to Central District FUTIAWA and mail by April 15
to:
Robbie Adcock
972 Rock Springs Rd.
Christiana, TN 37037
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