Please print this form, fill it out, and bring it to the next meeting,

or mail to:
Steve Schroer 
6809 Smithway Dr.
Alexandria, Va. 22307
Phone - 703-768-1072
Email - ESSchroer@aol.com

WHEN: 12:00 Noon Sunday, September 26, 2010
WHERE: Lone Oak Farm, Catharpin, Va.

MEMBER NAME: __________________________________
 
THE FOOD IS FREE. Please indicate the number of family 
members attending (Immediate Family Only): ADULTS: _______CHILDREN: ______