What: Mini-Crop
When: Friday, May 21st 1-9p and Saturday, May 22nd 9-6p
Where: Moore Regional Hospital Conference Center
Located on corner of Page Rd and Hwy 211

$30 per person (for both days)

*One fee, no splitting the two days for a lower charge

Deadline for registration is May 12th

Please complete and mail the below form with your payment to:
Cancer CARE Fund
Attn: Connie Goodrum
PO Box 249
West End, NC 27376

*Personal checks, cashiers checks or money orders accepted.

*Limited to 50 people, spaces available on a first come first serve basis.
* Event will be rain or shine, no refunds on registration fees or yard sale items.
* All monies raised at the event will go to fund the facility costs for the 20010 COCC Event, additional monies will be donated to the Cancer CARE Fund.

Name:                                                                     

Address:                                                                                
                                                                                            
                                                                                            

Email:                                                                                    

Phone Number:                                                                       

How did you hear about us?                                                     
                                                                                          
                                                                                          

Are you interested in attending the 2011 Cut Out Cancer Crop?
YES NO


*No assigned seating
*Registration is not complete until payment is received