Centennial

Please fill out the following short form. Just make your selections, type in the info in each box provided. (Don't press enter after typing in each box - either use the Tab key or your mouse to move to the next one, then click the Submit button at the bottom when finished.).

Do you plan to attend the Centennial Celebration on June 25th, 2005?

	Certainly
	Not certain about scheduling yet, but would like to help.
	Not sure, but keep me informed.
	We apologize if you got on the email list by mistake. This button will assure you get off the list.

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Your suggestions are most welcome .....

I'd be interested in participating in the categories below:

A "coffee room chat" where Fairdalians could meet online to discuss the weeks events.

I can send in some scanned photos of previous "The Fairdalian" issues.

I'll help with updating the web site.

I have pictures of historical interest.

I can type in some info and send it in via email.

I need some computer help so I can do some of the above.

First Name
Last Name
Phone
Address1
Address2
City
State
Zip Code
E-mail

	A "coffee room chat" where Fairdalians could meet online to discuss the weeks events.
	I can send in some scanned photos of previous "The Fairdalian" issues.
	I'll help with updating the web site.
	I have pictures of historical interest.
	I can type in some info and send it in via email.
	I need some computer help so I can do some of the above.

Centennial

Fairdale Centennial Committee.Copyright © 2004 [Fairdale.US] All rights reserved. Revised: May 19, 2004

Fairdale Centennial Committee.
Copyright © 2004 [Fairdale.US] All rights reserved.
Revised: May 19, 2004