Dates
& Times are Limited: Please print out the following
sheet and fill in by hand, once complete - either fax
directly to Tony or scan document and email it to him.
Call: 608-845-5410
Fax: 608-845-5410
Email:
tpuccio@aol.com
Name:___________________________________________________
Company:________________________________________________
Address:_________________________________________________
City, State,
ZIP:___________________________________________
Phone:__________________________________________________
Fax:____________________________________________________
Email:___________________________________________________
Preferred Date:____________________________________________
1st Alternative
Date:________________________________________
2nd Alternative
Date:________________________________________
Full Day:_____
Half Day:_____
Madison Chain
of Lakes:______ Lake Wisconsin:_____
Other Southern
Wisonsin Lakes:______ Lake Winnebago:______
Other:____________________________________________________
