Please print and complete the following information and return as soon as possible with your payment of $45.00 per person to:

Melanie King
70 Park Street
Brockville, ON
K6V 2G5

For more information contact Melanie at (613)345-5265 or

Fred Wardle at (416)482-5017 or (613)475-4124

or

E-mail Melanie at melking@recorder.ca or Fred at fwardle@attcanada.ca

Address:

Phone Number:

Quarrier Connection:
 

Name:

Address:

Phone Number:

Quarrier Connection:
 

I wish to make a donation of $5.00 per person to the Canadian Maple Grove at Quarriers Village. (optional)
 

Payment enclosed : $______________