Kansas Cornhusker Club Reservation Form

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___     I plan on attending the House of Schwan event   Number attending _______

Cost: $10.00 for adults - $5.00 for children under 12    Deadline – Wednesday, May 7th

Amount enclosed  ____________       Number of children under 12   ________

Name(s) ______________________________________________________________

Phone #________________   Email Address _________________________________

Mail to

Send check payable to Kansas Cornhusker Club to Ron Eilers  10325 W Merton St
Wichita, KS  67209