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                                MIDWINTER 2012

                                Name_______________________________________________________________

                                Email_______________________________________________________________

                                Office / Title /  Zip ___________________________________________________

                                Mailing Address ______________________________________________________

                                Retiree? ____First Timer_____ 

                                Banquet: Chicken _____Salmon_____ Sat/Sun only ____

                                Extra Meals:  Banquet $37 _____ Sat lunch $25 _____ Sun lunch $25 _____

                                Make checks payable to: WA State NAPUS

                                Mail to: Beth Slotterbeck PO Box 13 Troutlake WA 98650