21th Annual Min-Dak Border Chapter MDHA Banquet Order Form

Current MDHA member thru 8-1-12 or later Banquet ticket and MDHA dues for 1 year Banquet ticket, MDHA dues, and spouse 2012 MDHA Gun of the year 2012 MDHA Knife of the year Min-Dak Border 10 Gun Raffle Liberty Gun Safe raffle tickets 10 pt. Buck Sponsor Donor 8 pt. Buck Sponsor Donor $75 general raffle tickets Banquet donation Total amount enclosed: planning on bringing a Deer Photo
Must be returned by January 28, 2012 to insure are tickets mailed back to you before the banquet and qualify for the Early Buck Rifle drawing Return to: Min-Dak Border Chapter Jason King 2127 Pioneer Court NW East Grand Forks, MN 56721

$ 25.00 $ 50.00 $ 70.00 $ 10.00 $ 3.00 $ 10.00 $ 20.00 $ 150.00 $ 100.00 $ 50.00 $

Name: Address: State:

Phone Number: City: MDHA#

If you want to make a donation to the banquet or help on a committee, please call: Loren Abel, 773-3368, Bill Cummings 773-3217, Jim Benson, 773-7972. *Copy this form if needed for others*