A m. to 3: 00 p m. Fisherman’s Crab Deck 3116 Main Street Grasonville, Maryland 21638 Kent Narrows Registration Form



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2014 Annual

CRAB FEAST

Friday, October 3, 2014

11:30 a.m. to 3:00 p.m.
Fisherman’s Crab Deck

3116 Main Street

Grasonville, Maryland 21638

Kent Narrows

Registration Formcrab cartoon.jpg


Name




Session #




Phone #




Cell #




e-mail




Mailing Address




Retired

Yes ___ No ___

City/State/Zip



Agency




Event Cost:

Members - $55 per person

Non-Members - $60 per person

Additional Guest(s) attending, if applicable:

Guest Name:

Guest Name:

Guest Name:

Check method of payment: Check ____, Credit Card or Debit Card ____

Total Cost:

Additional guest(s) attending, if applicable; Attach additional sheets, if necessary.





Card Type:

MC __ VISA __ AMEX __

Card #:

CVC:

EXP:

Make checks payable to: FBINAA MD/DE Chaptercrab cartoon.jpg


Return form and payment to:
FBINAA MD/DE Chapter

C/O Mr. Barry Marsh

309 Summer Squall Court

Havre de Grace, Maryland 21078

Do'stlaringiz bilan baham:


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