OCTOBER 22, 2011

Complete and mail Registration Form to Patricia Taylor, SWG President, 4916 15th Street Road, Hueytown, AL  35023. Make checks payable to Carolyn Snider, SWG Treasurer. Call (205) 491-6448 if you have questions or need more information.

NAME: _______________________________________________________

ADDRESS: ____________________________________________________

                   _____________________________________________________

PHONE NO: ____________________________________________________

EMAIL ADDRESS: _______________________________________________

Number of People Registered: _______________________________

Total Amount Due: ($35 per person x qty) ______________________