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Then Feed Just One

Palo Alto County Packing Registration


$30 donation per person
Group Registration
Saturday, September 26, 2015
Palo Alto County Fairgrounds

2101 Madison
Emmetsburg IA
Over 1/4 Million meals so far!

Contact Lois Stanley (852-2692, stanprop@iowatelecom.net) or


Bonnie Whitney (852-9160, bonniew@iowatelecom.net) with registrations.
Group Name or Community: _____________________________________________________
Name: ___________________________ Phone: _________________ Age: ____ Paid: __
Name: ___________________________ Phone: _________________ Age: ____ Paid: __
Name: ___________________________ Phone: _________________ Age: ____ Paid: __
Name: ___________________________ Phone: _________________ Age: ____ Paid: __
Name: ___________________________ Phone: _________________ Age: ____ Paid: __
Name: ___________________________ Phone: _________________ Age: ____ Paid: __
Name: ___________________________ Phone: _________________ Age: ____ Paid: __
Name: ___________________________ Phone: _________________ Age: ____ Paid: __
Name: ___________________________ Phone: _________________ Age: ____ Paid: __
Name: ___________________________ Phone: _________________ Age: ____ Paid: __
Name: ___________________________ Phone: _________________ Age: ____ Paid: __
Name: ___________________________ Phone: _________________ Age: ____ Paid: __
Shift Preference (circle the shift you prefer)

8:00 am - 9:00 am
9:00 am - 10:00 am
10:00 am - 11:00 am
11:00 am - 12:00 pm

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