MGC Library Research Trip Registration Form
April 26 - April 28, 2011
Please print this page, complete, and mail to address below: Print me!
| Name ___________________________________________________________________________ | |
| Address _________________________________________________________________________ | |
| City, State, Zip ____________________________________________________________________ | |
| Telephone ____________________ Email Address________________________________________ | |
| Single [__] Double [__] Name of Roommate ____________________________________________ | |
Please select your box lunch choices below: Your initials to identify your box lunch ____________
|   |   | Wednesday | Thursday |
| Meat (choose 1): | beef | /_/ | /_/ |
| ham | /_/ | /_/ | |
| turkey | /_/ | /_/ | |
|   |   |   |   |
| Bread (choose 1): | Wheat Berry | /_/ | /_/ |
| White Sub | /_/ | /_/ | |
| Wheat Sub | /_/ | /_/ | |
|   |   |   |   |
| Sides (choose 3): | Potato Salad | /_/ | /_/ |
| Cole Slaw | /_/ | /_/ | |
| Pasta Salad | /_/ | /_/ | |
| Potato Chips | /_/ | /_/ | |
| Choc. Chip Cookie | /_/ | /_/ | |
| Diet Coke | /_/ | /_/ | |
| Reg. Coke | /_/ | /_/ | |
| Diet Sprite | /_/ | /_/ | |
| Reg. Sprite | /_/ | /_/ | |
| Diet Dr. Pepper | /_/ | /_/ | |
| Reg. Dr. Pepper | /_/ | /_/ |
Enclosed is my check for $30.00 for the non-refundable registration fee. Please make check out to"WGS Trips" and put in the memo section "MGC Trip". (Roommates are responsible for their own registration fee.)
Mail To: WGS Trips
c/o Sage Joyner
11822 SW 50th
Towanda, KS 67144