MADISON ACTION DAY 2019

Tuesday, March 26, 2019
 
Madison Masonic Center, 301 Wisconsin Avenue •

Cost: $25.00 for breakfast, lunch, materials 
• $10 extra for a special CUSH Madison Action Day T-shirt

• $10 for bus ride with CUSH/RIC
Local Bus/Rideshare: Hwy 20 Park-N-Ride
Departs: 7:00 am, sharp
Leaves: Madison at 4:00 pm
***     ***     ***     ***     ***     ***     ***
 Sign me up for Madison Action Day!

Name: ____________________________  Phone: _____________________  Email: ______________________

Organization: _______________________ Address: ____________________ City/State:___________________

Food Allergy?: YES/NO _______________

 

My registration fee is attached: 


____ $25 Full fee _____ $10 Bus ride _____  $ Extra donation towards scholarships   

Y/N Info on Scholarship Availability     _____ $10 for each t-shirt, S M L; (+$2) XL  2XL 3 XL, Size: ______
 
Return to: CUSH: cushkenosha@gmail.com or mail to: CUSH - PO Box 1324, Kenosha, WI 53141
Questions or more information, contact: Kathleen Gloff:  revkathy@outlook.com

 
PLEASE REGISTER BEFORE MARCH 13TH
 
 

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