Signup for bus to UMass Agronomy Farm ----for June 21 meeting

Please send this form to Ken Warchol, 372 Cooper Road, Northbridge, Mass.  01534 with your $10 check made out to WCBA by May 25th.

NAME:  __________________________________________________________________________________

TELEPHONE NUMBER:  ____________________________________________________________________

NUMBER GOING:  _________________________________________________________________________

AMOUNT ENCLOSED:  _____________________________________________________________________