Maine Chapter
Annual Meeting

Winona Camp
Bridgton, ME
October 13 and 14

REGISTRATION FORM

Name(s) ______________________________________________________________

Street________________________________________________________________ 

City, State, Zip Code____________________________________________________

Dinner will be a buffet. $20.00 per person fee covers registration and dinner. Overnight lodging is available for $16.00 per person which includes breakfast. Participants will need to bring sleeping bag/blanket, pillow, and towel. 

Registration and Dinner @ $20.00 per person x # _____ = $__________

Overnight Lodging @ $16.00 per person x # _____ = $__________

Mail Completed Form With Check Made Out To Maine Chapter AMC To: 

Peg Nation 7 West View Dr., Bldg 1, Unit 2 Lewiston, ME 04240

Contact Persons: Jim Tierney 795-7855 or Peg Nation 782-1472

Deadline for Registration is October 1.