2012 Glenn Family Reunion Registration Form

Name_________________________________________________________________

Address_______________________________________________________________

Email Address _______________________________

Home _____________________ Cell ________________________

Family members paying for:

Name /Age/ Amount Paid

_________________________________ ________________________

________________________________ ________________________

_________________________________ ________________________

Total amount enclosed ________________________

PLEASE FEEL FREE TO ATTACH ANOTHER SHEET IF NECESSARY.

Please complete and return along with full payment to either:

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

Catherine Curry 1307 Cambridge Rd, Shelby, NC 28152.

65 and Up $ 10.00

T-Shirt Size(s):

Small _____ Medium ______ Large _______ XL _______ *XXL __________

*$3.00 extra for sizes XXL and larger

T-Shirts - $10.00 sold in advance ($3 extra for larger sizes) additional cost, but highly recommended.