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PEQUOT LAKES REGISTRATION FORM <br /> Address: Jf, ,572! ' c (_& _�,# <br /> E-mail Address: <br /> Home Phone: <br /> 2 <br /> _Work Phone: <br /> 2 Z Cellftone: <br /> District Resident? Yei�No Age: Youth (6-18)_ Adult (19-54)2�sr. (55+) <br /> Gm+4- 'I LooAy Fks, <br /> t <br /> Mail Form & Check(Payable to ISD 186 to: Pequot Lakes Community Education <br /> P.O.Box 368/Pequot Lakes,MN 56472 <br /> 75-564, <br /> BRETT A TWARDY 919 6194 <br /> LISA P TWARDY 0335398 <br /> PH. 218-568-8212 <br /> 26529 EDNA LAKE ROAD DATE Ag <br /> NISSWA, MN 56468 <br /> PAY TO <br /> ORDER OF <br /> e. <br /> pm <br /> MEMO <br /> 1:0919056481: 033- 539-811' 6194 <br />