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Please Fill In the Form to Register for Our Picnic on:

July 12, 2008 at Lemay Park-Main Shelter 236 Fannie Ave. St. Louis, MO 63125.  The time will be 4:00 PM to 7:00 PM. Cost includes meal. Registrants will receive a follow up letter to their registration that goes over things in more detail.

 Thank You!

Family Name (please list all first names)
Address
City
State     Zip/Postal Code  
# of adults and any children over 5 yrs
# of Children
Under 5 yrs
E-mail
Comments
 

 

Love Basket Inc. 10306 Business 21 Hillsboro, MO 63050
Phone 636.797.4100 Fax 636.789.4978 Info@LoveBasket.org

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