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Broadfoot's of Wendell~ 2008 NC Experience ~ Saturday, September 27th

Registration

Name _______________________________________________________________________________

School/Library_______________________________________________ County ___________________

School/Library address _____________________________________________City__________________Zip_____________

School/Library phone #______________________ e-mail address: _______________________________

Please send information on motel accommodations: ___yes ___no

Registration Cost: $20.00 (includes coffee & donuts and lunch) .............Lawn chair or blanket recommended

Payment Method: ___Check (Make checks payable to Broadfoot's of Wendell) ___Mastercard ___Visa

Card #__________ __________ __________ __________ Exp. Date_____/_____

Home address_____________________________________________City________________Zip______________

Signature_____________________________________________ Phone #__________________________

Mail to: Broadfoot's of Wendell, 6624 Robertson Pond Road, Wendell, NC 27591 or Fax to: (919) 365-6008

After careful consideration, we are limiting our registration to 250 participants. The registration fee is non-refundable. Should we experience inclement weather, the event will still be held.

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