NEWCOMERS’ WINE TASTING GROUP

REGISTRATION FORM

 

Please complete and return this form with $5.00 registration fee and one time wine glass fee of $10.00 a person, $20.00 a couple.

 

NAME ____________________________SPOUSE NAME____________________

 

ADDRESS ______________________________________________________________

 

CITY______________________________ZIP______________PHONE_____________

 

E-Mail Address___________________________________________________________

 

I would like to be a Sub_____________ (will be called only if needed)

 

I would prefer to host the following months: (February, April, July or October)

 

FIRST CHOICE ____________________ SECOND CHOICE _____________________

 

Month(s) I cannot be a host/hostess ___________________________________________

 

Month(s) I cannot attend ___________________________________________________

 

Make check payable to:  Dorothy Brown and mail check and registration form to:

                                                                                    Dorothy Brown

                                                                                    829 E 3300 N

                                                                                    North Ogden, UT  84414