ASRD FEDERATION MEMORIALS

When reporting names for the Memorial Book, please give

the following information:

Name of Deceased

________________________________________________

Date of Death ________________________Year

Club________________________________

Zone # _________________Association

REPORTED BY

___________________________________________

PHONE___________________________

Report deaths occurring prior to JULY 01 of 2012.

Send information to:

A.S.R.D.F. Memorial Director

Mary & Reuben Coleman, R.R. #1, Boyle, AB T0A 0M0

780-689-2593 Fax 780-689-2612

marycoleman@mcsnet.ca

****************************************