Sign-up for the 34th Annual Module Meet

May 19-20, 2017
Kimberton Fire Company Fairgrounds
Kimberton, Pennsylvania

Make check or money order payable to:

Bruce Saylor
2836 Leon Ave.
Audubon, PA 19403

Fill out this simplified form online, or, if you prefer paper, download a printable (PDF) version of the registration form —

Registration Form

Register for the Module Meet

Items marked * are required.

Enter additional names (and their relationship to you: spouse, son, friend, etc.) in the space below. Separate each with a comma. (Example: Mary Doe, wife, John Doe, son, Jack Daniels, friend.)

There is no charge for your spouse or children under 16.
Meet Registration
Registrations: Total 
Tables are $50.00 after April 15.
 
Make checks payable to Bruce Saylor.

Please describe your module

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