••• Registration •••
Please print this form out and return by June 1, 2004
Name
Address_____________________________________ City
State_____ Zip_______ Telephone ____________ E-Mail
Banquet Saturday, July 3, 5 pm - 7 pm
Chicken, Ham, potatoes, veg, salad, dessert & drink
Number of Adults X $12.00 =
Number of Children (under 10) X $ 6.00 =
Commemorative T-Shirts:
Size: Sm___,Med ___, Lge___, X-Lge ___ X $10.00 =
2X___, 3X ____ X $12.00 =
Shipping: # shirts___ X $ 3.00 = Total (meals, shirts and shipping) =
Make checks payable to: Milan 125th
Mail to:
Milan 125th
Box 64
Milan, MN 56262
Check #_________, Date ___________________
Dinner, Sunday, July 4, 11:30 am - 1:00 pm
Barbeques, baked beans, potato salad, bars & drink
Adults: $5.00
Children under 10: $3.00
We would like a head count for this meal, please indicate how many of your family will eating following the church service in the tent. Fee for dinner will be collected on Sunday.
Number attending Sunday dinner _________
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