REGISTRATION FORM

ATTENTION PRESIDENTS:  Please make copies of this form and distribute
to your members so that they can register for the October Annual Meeting.

Please return your reservations with a check for $15.00 PER PERSON made payable to/ and send to:
      Darlene Fritz
       503 W  100 S
       Winamac, IN 46996

REGISTRATION DEADLINE: October 15, 2008

NAME:    TITLE:

ADDRESS:       CITY:

CLUB NAME:        PHONE:

EXHIBIT SPACE:  YES     NO

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