NAME
______________________________________________________________________________________
ADDRESS
___________________________________________________________________________________
CITY _________________________________________ STATE _______ ZIP
__________________________
PHONE ________________________________________ EMAIL
______________________________________
I have enclosed my registration fee of $20 per person. Amount Enclosed
_____________
I will make my own motel or camping reservations before April 16. I understand my Saturday evening dinner is included in the $20 registration fee.
DEADLINE FOR REGISTRATIONS IS APRIL 16, 2004. Please mail to Kay Neumayr, including your registration fee, at:
NCGLNAC, Inc.Make checks payable to NCGLNAC.