Name(s): ________________________________________________________________
Address: ______________________________________________________________
Number of Reservations: __________________________________________________
Payment Enclosed: _______________________________________ ($25 per person)
RESERVATIONS ARE DUE
BY SEPTEMBER 11, 2008 .
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NORDFJORDLAGET MEMBERSHIP APPLICATION
Mr. Mrs. Ms. _____________________________________________________________
Address: _________________________________________________________________
City, State, Zip ____________________________________________________________
Phone __________________________________________________
Membership: $5.00 per person (Life memberships are available for $50.00
U.S.)
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MEMORIALS
If you would like to notify us of a Lag member who has died, honor someone or remember a loved one with a donation
to the Nordfjordlag, you are invited to complete the following information:
Past member _____________________________________________________________
:
Given in Honor of __________________________________________
$______________
Given in Loving Memory of ___________________________________ $______________
Total Reservations/Membership/Memorials = $______________
Note: Any of the above items being paid can be included in one check.
Mail this form and your check to:
Betty Rodi
9313 North Shore Drive
Spicer, MN 56288