Registration Form
Iguana-Head
Hash #69-30, Bullhead City, AZ
November 9-12, 2000

Name:  
Home Hash:  
Real Name:  
Address:  
City:  
State:  
Zip Code//Country  
Phone Number:   FAX Number:  
E-Mail Address:  
BAJA Jacket Size:

MEDIUM

LARGE

X-LARGE

X-X-LARGE

Sex:

M (Male / Maybe)

F (Female / Frequently)

Instead of the unusual disclaimer, Creamsicle has included, for all hashers who have not already done so, the opportunity to DONATE money to the Arthritis Foundation for the Joints in Motion training team. The team is doing some sort of “R” event in Dublin, Ireland on Oct. 30. Creamsicle must raise $4000 and has so far reached about $2500. Think of it as helping research find a cure for Arthritis so that those individuals that suffer from this illness can one day drink a Guinness with their own hands. If you would like to donate, please send in a separate check made payable to” The Arthritis Foundation. Mail all funds to the address below. All donations are TAX DEDUCTIBLE.

$5 $10 $20 $25 Other $

  • $39.69 up to October 30th
  • $69.00 after October 30th
  • Checks (US FUNDS) should be made payable to “Patty O'Hora”.
  • MUST register by October 30th to guarantee printing/sizes

Mail to:
Iguana-Mosa
c/o Patty O'Hora
P.O. Box 1084
Phoenix, AZ 85001

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