Bak mee met het AKG! Inschrijfformulier Naam: .................................................................................................................................................................................................................................................................. Adres: .................................................................................................................................................................................................................................................................. Postcode/woonplaats: ..................................................................................................................................................................................................................... Telefoon: ........................................................................................................................................................................................................................................................... Mobiele telefoon: ..................................................................................................................................................................................................................................... e-mail: .................................................................................................................................................................................................................................................................. Heeft ontvangen: - 1 kg Tarwevolkorenmeel - 2 zakjes a 11 g droge gist - Wedstrijdformulier Het brood wordt ingeleverd op 13 mei 2016 tussen 17.00 uur en 18.30 uur in de Kerkhovense Molen te Oisterwijk ______________________________________________________________________________________________________________ Langvennen-Oost 120, 5061 DR OISTERWIJK - tel: 013 - 521 25 02 - e-mail: [email protected] - www.kerkhovensemolen.nl