Please fill out this form and submit so we can get an idea
of who is attending and who will be joining us on the buses from:

Deptford Mall Parking Lot
 (Across the road from Outback Steakhouse/Bonefish Grill)
 1709 Deptford Center Road
Deptford, NJ 08096

IBEW Local 400
 (back of the parking lot)
3301 Highway 138 East
Wall, NJ 07719
Name
Home phone
Cell phone
Employer
Division or department
EMail
Would you like to take a bus
Where will you be taking the bus from?
How many seats? Please name your rally buddiies.
1 5
2 6
3 7
4 8