Please sign me/us up for the Suffield Historical Society's Tour of Harrisville on May 17, 2008

Please complete this form and mail with your check before May 1st to:

Ed Chase, President - Suffield Historical Society
900 Mountain Road
West Suffield, CT 06093

Name(s) _________________________________________
Address _________________________________________
_________________________________________
Town _________________________________________
Phone _________________________________________
Email _________________________________________

Members: $60.00       Non-Members: $65.00

I've enclosed a check for $__________________ for the tour.

Lunch is a sandwich, soft drink and a cookie. Additional items such as soup, or fancy deserts may be purchased at the General store. Water, snacks and additional drinks will be provided on the bus.

Lunch choices (indicate quantity in box for sandwich choice)

Whole Wheat Sourdough Wrap
Roast Beef (       ) (       ) (       )
Turkey (       ) (       ) (       )
Tuna (       ) (       ) (       )