Ogallala Commons
  Generating Commonwealth for Great Plains Communities
Registration

Name: ___________________________________________

Address: _________________________________________

Phone: __________________________________________

Email: ___________________________________________

Cost: $30.00

Need a Scholarship? Yes No

For Further Information or Questions:

Contact Darryl Birkenfeld (806-938-2529)
or email: darrylb@amaonline.com

Return to:   L.I.F.T.  Box 248  Nazareth, TX 79063