Old-Fashioned Picnic

Registration Form

(Print, complete form, and return with check)

 

NAME(S) _______________________________________________________


ADDRESS ______________________________________________________


PHONE ________________________________________________________

 

Adult $13 each иииииииииииииииии.. $ _____________

Children (12 and under) $5 each  ииииииииии. $ _____________

Check total иииииииииииииии.иии... $ _____________

 

Make check payable to: Oakwood Historical Society


Mail to:

Kjirsten Goeller

3 Forrer Blvd.

Dayton, Ohio 454119


Call (937) 298-1268 for more information.