Salem Quarter NewsSUMMER 2000

Salem Quarter Retreat

Registration Form

Name:
Address:
City, State  ZIP:
Telephone:
Monthly Meeting:
Special dietary needs:
For the potluck, I'll bring:
[] Vegetarian   [] Vegan

Please enter names and check off age category of those who will be attending. Fee for adults and older children is $45; children six and under, $30; infants not using a bed free. Maximum per family is $120. Please print out and return this form with your check made out to Salem Quarterly Meeting to:
Coordinator’s Office
PO Box 55
Woodstown, NJ 08098
Name Adult Child Infant Amount
         
         
         
         
         
         
Total