
Registration form for Harvest Hoot Saturday, Sep 17, 2011
Highlight and print if possible, then fill out and return to:



Queen Kathleen F. Persinger
check one:
______Table reservation $50 deposit
or
______ Individual reservations $35 per hat
Make checks payable to: Kathleen F. Persinger
Chapter Name:______________________________________
Your Name and title if any, and all names attending with you
if you are registering more than one hatter. If you need more space, please write on back and check here: _____________
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Your Contact Information: Address, phone number, email
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