Registration Form
Founder's Day
Muhammad Farms
July 2,3 & 4, 2010
Bronwood, GA
Name:______________________________________ Address:____________________________
City:_______________________________State:________________________Zip:____________
Phone:_____________________Fax:____________________
E-mail:_______________________
Number Dollars______Adults---$15 Registration
_________________Children/Students---$5 _________
Total _________
Meals: Vegetarian or Fish/Turkey
Adult---$10 Children---$5
Friday Fish Fry # Adults___________ #Children_______
Saturday Dinner #Adults_________ #Children_______
Make check or money order payable to the
"Three Year Economic Sav. Prog."For further information call Dr. Ridgely or Sis. Anne Muhammad at (229)995-6619 fax:(229)995-6771 or email Dr. Ridgely at drridge@bellsouth.net
(Print out, fill out and return to
Ministry of Ag. Conf.
2569 Southpoint Rd
Bronwood, Ga 39826)