Please provide the following contact information:

First Name
Last Name
Mr./Mrs./Dr.
Organization
Street Address
Address (cont.)
City	St.  Zip:
Work Phone	Home:
FAX
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Please enter information about your event in the box below: Be certain you provide concise accurate information.  A sample paragraph appears at the bottom of this page.

(SAMPLE)  The XZY Club of Wolfeboro will hold a harvest supper, Saturday night, October 16, 2003 at the Town Hall.  There will be two servings at 5pm and 6:30 pm.  Adults $7.00, Childrine under 6 free, and Families $12.00.  Reservations requested.  Cal 569-0000