January 19-20, 2013 J.W. Jones Fire Hall -
354 Liechester St. Route 36, Caledonia NY
NAME ________________________
Company Name ________________
ADDRESS ____________________
CITY _________________________ STATE ___________ ZIP ________
PHONE_________________________
#of tables @ $35 each - ______
AMOUNT ENCLOSED ________
TABLES WILL CONSIST OF _______________________
SIGNATURE_______________________________
Your signature is required to reserve tables and constitutes your agreement to the rules and
agreement found under the "Rules and Agreement" link.
Payment MUST accompany reservation.
Mail completed application and payment to:
N.F.C.
83 Eckerson Ave.
Akron, NY 14001
__________________________________________________________________
Date__________ CK# _________ Tables assigned________________
Contact Info:
Bruce Johnston: 716-542-9929