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Pioneer Workshop Registration Form |
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| Print the following form and mail it with your $5.00 check to BWAHS | ||
| Name:__________________________________ |
Phone: ( )_______-___________ |
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| Address:________________________________ |
P.O. Box or Apt.# __________________ |
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| Town___________________________________ |
State:____________ |
Zip:_____________ |
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Email Address:_____________________________________________________________ |
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Mail to: Big Walnut Area Historical
Society P.O. Box 362 Sunbury, Ohio |
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