ST. ANNE UKRAINIAN CATHOLIC CHURCH

1545 EASTON ROAD

WARRINGTON, PA 18976

SATURDAY

OCTOBER 4, 2008

9 am - 3 pm

SPACE (1 CAR LENGTH) - $15

SPACE & TABLE - $20

INFO?  VAL OR JOHN (215) 491-2988

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PRINT CLEARLY:                                            DEADLINE: 9/21/08

NAME:________________________PHONE #____________________

Space ($15)                   [  ]     # of Spaces___________

Space & Table (20)       [  ]     # of Spaces & Tables__________

TOTAL AMOUNT ENCLOSED:  $____________________

Make Check Payable to:  St. Anne Ukrainian Catholic Church and mail with this completed registration form to address above