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9th Annual I.F.W.D.A.
Weekend Camp-out & Trail Ride at Wilstem Ranch & Lodge
August 15, 16, 17th, 2003 Registration Forms
Must Be Postmarked By July 18th To Be Excepted Late
Registration’s will be $50.00 per adult & $25.00 per child |
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1.
IFWDA #
:______________________________ PHONE: (______)________-__________ 2.
Club Affiliation:__________________________ E - MAIL:_________________________ 3.
Name:____________________________________________________________________ 4.
Address:__________________________________________________________________ 5.
City, State, Zip:_____________________________________________________________ 6.
Type of Vehicle:____________________________________________________________ 7.
Check Type of Trail: Easy_______ Moderate_______ Hard_______ 8.
Estimated Day & Time of Arrival :_____________________________________________ 9.
# of Adults @ $35 ea.:________________________________________________________ 10.
# of Children (6-12) @ $15 ea.
(Please provide age & gender of children) (5 & Under Free) ___________________________________________________________________________ 11.
Weekend Camping Fee is $10 Per Campsite ( If other please specify; Hotel, Cabin, Lodge, ect.) Tent:_________ Camper:__________ Motorhome:__________ Other:____________________________ 12.
Wilstem Tee Shirt Order @ $18 Per Shirt: Select Sizes Small:_________ Medium:_________ Large:________ XL:________
XXL:________ XXXL:___________ 13.
For Available Lodge Call: Allen Popp at 812-836-2368 0r E-Mail
nitro@psci.net Make Checks Payable to IFWDA 14.
Wilstem Registration & Other
Information: Mail Registration
and Checks to:
ALLEN POPP
5410 ADVANTAGE RD
TELL CITY, IN. 47586
812 - 836 - 2368 OR nitro@psci.net
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