H.A.G.G.I.S MEMBERS

BURNS SUPPER RESERVATIONS

& MEMBERSHIP RENEWAL 



If you browse with scripting off (or run a plug-in on your browser such as NoScript), you will need to turn scripting on for this form to work. There are NO ads on haggis-iowa.com, and this page has the only script. If you prefer to not use a script, you will have to mail your registration in the old-fashioned way.

This form is for members only.

If you have family and friends that wish to attend, please include them on YOUR form. If they send their own, we'll take that as a desire to join (which would be a good thing, actually).

Please fill out this form and click Submit. If you have questions about reservations or need to make changes, please email Burns2012@haggis-iowa.com

This year's Burns Supper event is at the MARION LEGION POST #298 on 21 January 2012.
Marion Legion Post #298 Hall, 625 - 31st St., Marion



Please enter your name:
Please enter your email (optional):
Enter names of guests here (one per line, include age and gender for kids, please):
Name Age Gender
Name Age Gender
Name Age Gender
Name Age Gender
Name Age Gender
Name Age Gender
Name Age Gender
Name Age Gender
Name Age Gender
Name Age Gender
Name Age Gender
Number of Adults (x $10.00):
Number of Children (x $5.00 7-18, under six free):

MEMBERSHIP
Memberships are due yearly by Tartan Day ~ April 6, 2011. You may pay now if you wish.
Annual Dues are $13.00 for single membership and $17.00 for household membership.
Lifetime memberships are $200.00
Please print the following information clearly and completely, so we may keep our membership and e-mail lists up to date.
  Name(s) in which membership is to appear:
   
  Mailing address:
   
  Phone number(s):
  E-mail address:
(we send information via e-mail periodically)
  Please list any particular talents or interests you have to share:  
   
  As a member, I agree to volunteer time and talent for events and fund-raisers, as I am able.
       as of 25 January 2012
 
  Membership: (Mark one)

Please write separate checks for the dinner and
for membership, for bookkeeping ease.

Send form and payment check(s) to: H.A.G.G.I.S. P.O. Box 10212, Cedar Rapids, IA 52410-0212
If you have questions about reservations or membership dues, contact Lynne McDole at burns2012@haggis-iowa.com


Click here to submit