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