Western Montana Mycological Association Fall Foray 2001
Registration Fee: ___________Date
Name:
Address:
City, State, Zip
Phone:
Email:
Full Weekend: ______Single ($20 each X #people) $
_____Family ($25 each X #people) $
Saturday Only: ______Single ($5 each X #people) $
______Family ($10 each X #people) $
Lodging: (first come first serve):
$20 X #people (for Sat. Nite Only): $
===============
Check number: Total Enclosed: $
Detach and include with a Check and send to: (Make Checks Payable to WMMA):
WMMA (Western Montana Mycological Association)
223 Somers Ave
Whitefish, MT 59937