Brightonwoods Orchard, 1072 - 288th Ave, Burlington WI
53105
Monday, July 12, 2010
Questions? Call (800) 722-3120 / (920) 478-9586 (Fax)
Name(s) __________________________________________________________________
Orchard/Business ___________________________________________________________
Address __________________________________________________________________
City ______________________________ State ___________ ZIP ___________________
Phone ____________________________ Email ___________________________________
WAGA Summer Field Day (Monday, July 12th, Brightonwoods Orchard, Burlington, WI)
______ (qty) WAGA Members: $25.00 each person TOTAL: _____________
______ (qty) Non-Members: $37.00 each person TOTAL: _____________
Print this form and mail with check to:
TOTAL AMOUNT DUE: _____________
WAGA, 211 Canal Rd., Waterloo, WI 53594
Price includes refreshments and lunch.
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Please register by July 9th. Registrations after July 9 will be charged a $10.00 late fee.