12th Annual MRWA Fishing Outing - PRE-REGISTRATION

Date: June 19, 20123
Time:  4:30pm
Cost: $20.00 (Includes boat, gas, dinner, bait & guides)
Bring: Your fishing equipment (optional) Fishing poles are provided
Where: Wahkon Inn - Wahkon, MN
Lodging: McQuoid's Inn - Isle - 800-862-3535

Please provide the following contact information:

Name
Title
Organization
Mailing Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
FAX
E-mail

Registration Fee: $20.00

Choose your payment option:

A. I will send a check to MRWA. B. I will call the MRWA office with credit card information. C. Please bill me.

Please print this form - this is your invoice.   Make payment to: Minnesota Rural Water Association                            217 12th Avenue SE                            Elbow Lake, MN  56531