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Registration

    

SORRY BUT IT'S TOO LATE!

Mercier Orchards Workshop
Sunday, April 18th, 2010

   
Bakery Name:__________________________    Phone:(____)_____________

Bakery Address:
_______________________________________

  City:
______________
    
  State:______
   
 Zip:
_______________
     
Attendees:
       _________________________        ________________________

       _________________________        ________________________ 

        
   ___ Attendees X $25   RBA/SRBA MEMBERS* Includes Lunch    = $_________

   ___ Attendees X $40

  NON-MEMBERS Includes Lunch               =

$_________

*If the Bakery is a paid up-to-date member, all attendees are members.

            

TO JOIN OR RENEW SRBA MEMBERSHIP:


Name of Applicant:_________________________________________
                                   
(If Different From Above)


Bakery or Business Name:___________________________________

Address:__________________________________________________

City:__________________   State:______   Zip:__________________
 
Email:____________________                           Membership Cost  ($100)         =  

$_________
            
                                        Total Cash Due  

$_________
   

Print & Mail with Check to: SRBA, 161 Ridgemont Dr., Columbia, SC 29212

      
 


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Last modified: May 24, 2010