Registration Form

Please Reply by September 8th, 2003

NAME_________________________________________________________

ADDRESS_____________________________________________________

CITY, STATE AND ZIP____________________________________________

PHONE_______________________

E-MAIL__________________________________

I plan to attend the 81^st Annual Meeting, Sat., Sept. 20, 2003: Yesq Noq

I will bring something for Pot-Luck: Yesq Noq

v There will be _____ in my group

I wish to have Newsletter and membership Donation $10.00 q

I wish to have membership only Donation $3.00 q

Please make newsletter/membership checks, to: The HADLEY SOCIETY

and mail to:

Terry McLean, 3409 Miraloma Ave, Anaheim CA 92806

COMMENTS: ___________________________________________________________

___________________________________________________________