Registration
Names of those attending:
Select:
- Ernest
- Jens
- Dora
- Adolph
- Herbert (Hap)
- Edna
Address:
City, State & Zip:
Email address:
Phone number:
| Adult Registration | $15/person | # | $ |
| Youth Registration (ages 5-12) | $8/youth | # | $ |
| Registration includes most activities, dinner, snacks, beverages and the evening meal. | |||
| Additional Activities | |||
| Wine Tours | $2/person | # | $ |
| Raffle Tickets | 5/$5 or 20/$15 | # | $ |
| Total Due | $ | ||
Please send a check and registrations to:
Brodersen Reunion
Attn: Lynn Milander
700 Hespe Drive
Norfolk, NE 68701
Questions?
Carmen Patent
402.337.0099 (evening) or 402.337.1004 (day)
mainstreetflowers@cableone.net
