Missouri Angus Association

2003 Missouri Angus Tour
PRINT this page and send completed registration form with payment by August 12, 2003 to:
DORLENE SHULTS, RT. 5 BOX 180, SALEM MO 65560

PRE-REGISTRATION FORM Price includes meals and transportation from the tour headquarters Friday thru Sunday.
	COST	x	NUMBER	=	TOTAL
NAME:	$75			=
SPOUSE'S NAME:	$75			=
OTHER ADULTS 18 & OVER:	$75	x		=
CHILDREN UNDER 17:	FREE	x		=
SATURDAY MEAL ONLY:	$20	x		=
TOTAL:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
Send completed registration form with payment by August 12, 2003 to: DORLENE SHULTS, RT. 5 BOX 180, SALEM MO 65560