Name: Handicap:

Address:

City/State/Zip:

Home Phone: Work Phone: Email:

Name: Handicap:

Address:

City/State/Zip:

Home Phone: Work Phone: Email:

Name: Handicap:

Address:

City/State/Zip:

Home Phone: Work Phone: Email:

Please make all checks payable to The Macon Rescue Mission
and mail completed entry form and check to:
Jaime Kaplan c/o The Macon Rescue Mission
P.O. Box 749 · Macon, Georgia 31202
For More Information, call (478) 960-3409

For additional information contact Jaime Kaplan at JaimeCay@aol.com.