July 10,11,12, 2007
 

Name_________________________________________________

Names Of Guest_________________________________________

Registration Is $20.00 (applies only to veteran)

Cost of Hors D'oeuvres & Refreshments is $15.00 per person

Dates Attending ( please check)

10th__________________ 11th________________12th______________

Please make check payable to: "Robert Stone", and mail to:

Robert Stone

980 County Rd. 366

Jackson, Mo. 63755

If you have any question please call or email me:

Robert Stone ( Stoney)

573-243-8496 Home 573-450-8496 Cell

Email: hotlz1968@yahoo.com