Registration Form                                                         Send to: Don Bryan

Winter Battle at Billie Creek                                            10201 US Highway East 40 
                                                                                      Terre Haute In 47803
 

February 4-5, 2012                                                        

 

Unit: ______________________________________________________

 

Contact Person: _____________________________________________

 

            Address: _____________________________________________

 

            State: ______________   Zip: _____________

 

            Phone Number: _________________________ 

 

E-mail: _________________________________

 

Members attending:

 

Name                                                   Military             Civilian

 

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Cost is $10/ person and includes straw, wood and a meal Saturday night.

 

Total Enclosed:  ___________