Back Together Again

Glenn Family Reunion Registration Form 2012

“Back together Again”

July 20-21, 2012

Name_______________________________________________

Address________________________________________________________

Email Address __________________________

Home _____________________ Cell ________________________

COST

Adults 18 & Up $ 30.00

Teens 12-17 $ 10.00

Ages 6-11 $ 5.00

65 and up $ 10.00

Under 5 Free $ 0.00

Descendent of (please check one)

__ George Glenn __ Lilly Glenn __ Woods Glenn __ James Arther Glenn

__ Willie Odell Glenn __ John Glenn __ Hattie Glenn __ Ethel Glenn

Family member(s) paying for

Name, age, and Birthday Amount Paid

1._________________________________ ________________________

2._________________________________ ________________________

3._________________________________ ________________________

Total amount enclosed $ _______________

PLEASE FEEL FREE TO ATTACH ANOTHER SHEET IF NECESSARY.

T-Shirts - $10.00 sold in advance additional cost, but highly recommended.

__ Small __ Medium __ Large __ XL __ XXL* Total amount enclosed $ _____

*($3.00 extra for sizes XXL and larger)

Please complete and return with payment to:

Deborah Woods P.O. Box 29565, Charlotte, NC 28229 or

Katherine Curry 1307 Cambridge Drive, Shelby, NC 28152.

Contacts:

James (Buck) Glenn 704-435-2443 Peggy Lowe 704-484-1734

Brenda (Cat) Graves 704-435-4748 Dianne Means 704-575-2671

Katherine Curry 704-473-1624 Warren Boatwright 704-482-3492

Deborah Woods 704-579-1442 Thelma Kelly 704-487-6971

Ricky Huskey 704-300-7078

If you have any black and white pictures or older pictures please email them to georgenance@gmail.com

Thanks