Name:____________________________________
Address:
Phone:___________________________________
E-mail:__________________________________
Registration Fee:
($30.00 / $25 prior to April 1,
2006)
_________________
Banquet:
($25 per
person)
_________________
Tee Shirt Order:
$11 per shirt
Size____________
_________________
Please Make Checks Payable to: Buchanan
County Bird Club
Mail
to: Lynda
Mayhorn
HC 67, Box 44A
Pilgrims Knob, VA 24634
Banquet will be a three entree
buffet with hand carved Roast Beef, Chicken, Baked Whitefish, salad, three
side dishes, desserts, bread and beverages.
Shirt will have:
"Birding Buchanan County - VSO 2006" logo. This emblem
will be approximately 4" high on the left front of the
shirt.