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 by June 30th:
Deborah Woods P.O. Box 29565, Charlotte, NC 28229 or
Katherine Curry 1307 Cambridge Drive, Shelby, NC 28152.
Contacts:
James (Buck) Glenn 704-435-2443Peggy Lowe 704-484-1734
Brenda (Cat) Graves 704-435-4748
Katherine Curry 704-473-1624
Deborah Woods 704-579-1442
Thelma Kelly 704-487-6971
_____ I will not be attending.
_____ I am unable to attend, but would like to purchase a T-Shirt. (PAYMENT ENCLOSED)
If you have any black and white pictures or older pictures please email them to georgenance@gmail.com
Thanks
