Attached is a fillable form (SAME as Last Year)...

Download a copy to your desktop
Then open with an ADOBE reader, fill it in, save and print a copy for yourself , e-mail me a copy (after you've saved it, filled in) as an attachment.
Combine your Conference and D,Dual records
(Remember the form has to be closed before you can attach it :-))
(The submit part of this form does not work)

ron.krouse@gmail.com

If you can't get any of that to work ... fill it in , take a picture with your phone and send it to me
570-899-4899
Ron


If your reader is out of date.... Get the free Adobe Reader from:

http://www.adobe.com/go/reader