First Member:_________________________________

Second Member:__________________________________

Address:____________________________________

City:____________________Zip:—––––––––––––-

Phone:_____________________________________

Cell:_______________________________________

Cell:_______________________________________

Email:______________________________________

Membership :

Individual - - - - - - - - - $10.00
Family ( two or more)_$20.00
____________________________________________

Are you new to Dutch oven cooking?__________


Mail:  Columbia Basin Dutch Oven Society
           601 S Pioneer Way, Suit F Box 212
            Moses Lake, WA 98837
      

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