Items in red are required
Please print a copy of this page before pressing the "Send Registration" button. Please send the printed and signed registration form, along with a check (payable to – David Feavearyear) for the total amount to:
David Feavearyear303 Millard Hill Rd Newfield, NY 14867
Early Entry Fee: $55.00
***Entry fees are not refundable and must be received by July 9th, 2011 or entry fee will be $65.00.
Contact with questions:
David Feaveayer David Filiberto