Daniel P. Shaughnasey, PER 190 Gahbauer Rd. #31 Hudson, New York 12534

Gerald Wood, PSVP Chairman P.O. Box 1174 Hudson, New York 12534

Hudson Elks Lodge #787

Mayor's Award

"MOST PATRIOTIC STOREFRONT DISPLAY"

SATURDAY, JUNE 9, 2007
(RAIN DATE - June 10, 2007)

REGISTRATION FORM

STORE NAME:_________________________________________

CONTACT PERSON:_____________________________________

PHONE:______________________________________________

ADDRESS:____________________________________________

THEME:______________________________________________

PLEASE SEND COMPLETED REGISTRATION FORMS TO:

Please forward completed forms to:
Hudson Elks Lodge #787
P.O. Box 493
Hudson, New York 12534
Home:  (518) 828-9059
c/o Daniel P. Shaughnasey, PER

HUDSON ELK'S LODGE #787
AND
COLUMBIA, "THE COUNTY THAT CARES"

COPY THIS FORM AND PLASE MAIL TO ADDRESS ABOVE. THANK YOU.
Flag Day 2006
Hudson Elks Lodge #787