October
27 & 28, 2007
(Rain or Shine)
Adults Accompanying
Children - $4.00
Children Age 4 and
Under -
Admission includes hay ride, pumpkin patch, pumpkin painting, games, event patch, and a free hot dog and soda!
PLEASE COME IN COSTUME! (Prizes awarded all
day!)
For more information, contact:
Jim Grimaldi 631-924-7000, ext. 21
Pat Tariol 631-772-8081
Bill Fontaine 631-893-9151 (Trailblazer District)
Brian Haggerty 631-8893-9151 (Sagtikos District)
Dawn Inderdohnen 631-696-3731 (Benjamin Tallmadge District)
LIE to Exit 71 – Go North on Edwards Ave. to
Please register by the Monday prior to the event date so
we have enough time to plan for you and your
Scouts.
Name:_________________________________________________________________________________
Address:
_______________________________________________________________________________
City:
_____________________________________________
Zip:_________________________________
Phone:
_________________________________
Unit: ________________
# Adults: _________
# Children: _________
Check Enclosed: ________________________ (Payable to
Credit Card:
MC Visa Disc AmEx
Credit Card #:
______________________________________
Expiration Date: ______________________
MC/Visa (security code
required):
______________________
Cardholder Name:_______________________________________________
Phone:________________________
Billing Address: _______________________________________________________________________________
Street
Signature:
_________________________________
1-6801-077-20