Wreath Workshop Registration Form

Print the following form and mail it with your $10.00 check to BWAHS
 

Name:__________________________________

 

Phone:  (          )_______-___________

 

Address:________________________________

 

P.O. Box or Apt.# __________________

 

Town___________________________________

 

State:____________

 

Zip:_____________


Email Address:_____________________________________________________________

Deadline is October 31,2009

 
Mail to: Big Walnut Area Historical Society
              P.O. Box 362
              Sunbury, Ohio