Print and complete this form, and return with your check and dinner selection to make your reservation.


NLSC 2009 Carolina Shrimp Boil
September 15, 2009 - Spring Park, MN


 Sign me up!  Name(s)____________________________________________________

Enclosed is a check for $ ____________ for _____ people ($10 adult , $5 small kids)

Please indicate how many for Shrimp Boil _________

How many for Kebobs ______________

I can help with the Shrimp Boil!  Call me at _____________________________________


Send this form and your check payable to NLSC, by September 8th, to:

Marge Collins
4616 Nine Mile Creek Parkway
Bloomington, MN. 55437


Questions? Call:
      Marge at 952-831-3004 or
      Jerry at 952-513-8004