Hadeland Lag Membership Renewal Form

Make your check out to the Hadeland Lag and mail it with this form to:

Barb Schmitt, Treasurer              In Norway, mail payment to

1006 Aston Circle                        Harald Hvattum

Burnsville MN   55337                 Aschimlinna 4, 2760 Brandbu

Name

Mailing Address

City                               State/Province      Zip/Postal Code  

E-mail ______________________________________

Phone __________________