| 2015 ELVIRA FAMILY 31th REUNION
July31- August 2, 2015
REGISTRATION FORM
NAME ________________________________________________________________________
ADDRESS _____________________________________________________________________
CITY______________________________________STATE_____________ ZIP_____________
PHONE (____)_______________ EMAIL_________________________FB FRIEND?_______
( ) DORSEY ( ) WHITE ( ) GREEN ( ) MCGEE ( ) FRIEND OF FAMILY
REGISTRATION FEES:
Fees are Per Person
(70 & older) - $70.00
(13-69) - $ 85.00
(4-12) - $40.00
(3 & younger) Free
Children 3 - Under FREE (Must be registered)
REGISTRATION DEADLINE: APRIL 11, 2015
SCHOLARSHIP DEADLINE: JUNE 1, 2015
T SHIRT DEADLINE: MAY 2, 2015
HOTEL DEADLINE: MAY 31, 2015
DAYS ATTENDING ( ) Friday ( ) Saturday ( ) Weekend FIRST TIME? ( )
*PLEASE WRITE CLEARLY*
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NAMES
(for name tags)
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CHILD
AGE
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ADULT
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T-SHIRT
(CHD) XS, S, M, LG
SM, M, LG, XL, XXL, XXXL
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T-SHIRT INFO: CHD SIZES $10.00, ADT SIZES SM-XL $12.00, ADT SIZES XXL-XXXXXL $14.00
REGISTRATION T-SHIRTS
TOTAL AMOUNT: $_______________ $________________
TOTAL BALANCE: $_______________ * $________________ *
TOTAL ENCLOSED: $_______________ $________________
Please mail completed registration forms and all monies to:
Shirby Cooper
23 White House Rd
Hemingway, SC 29554
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