Name_________________________________________________________________________________

Address________________________________________________________________________________

City______________________State______Zip_________________________________________________

Phone_(______)_______________________________________________________________________

E-Mail_______________________________________________________________________________


Types of carving I do or am interested in pursuing_______________________________________________

Topics for meetings______________________________________________________________________

What I would like to see more of in newsletter____________________________________________

Other Comments_______________________________________________________________________

___________________________________________________________________________________

Dues for 2005-2006 are payable by October 1st. Please use the handy form above and send it to:

Jeanne Grams
106 Egret Blvd.
Coon Rapids, MN 55448-5017

Or pay to your local chapter treasurer. Please do this as so as possible. Thanks.