Hadeland Lag Annual Meeting 

                     Reservation Form

      Mail to:   Hadeland Lag Fall Meeting

                     c/o D. Pfeffer

                     3083 Lake Shore Avenue

                     Maple Plain   MN  55359 

  Name ________________________________________

  Address ______________________________________

  City _____________________  State ___  Zip ______

  Phone ( ___ ) ____ - ________   Email ____________

 

  # of tickets   Price   Total
Registration fee includes
lunch & afternoon tour 		    $15.00    
Pay Your Dues                           
    One Year x $15.00 =
    Two Years   x $27.00 =  
TOTAL ENCLOSED  

  Make your check payable to "Hadeland Lag" 

  Mailing deadline: October 14, 2011