George Dailey |
ADDRESS__________________________________________________________
___________________________________________ PHONE ________________
Total # OF PEOPLE ATTENDING THE REUNION WITH YOU ___________
| # OVER 70 YEARS OLD | ____ | = FREE |
| # OF CHILDREN (0-5 YEARS OLD) | ____ | = FREE |
| # OF CHILDREN (6-12 YEARS OLD) | ____ X $15 | = $________ |
| # OF ADULTS (13-69 YEARS OLD) | ____ X $40 | = $________ |
| (How many of each?) Med ____ Large ____ XL ____ XXL ____ XXXL ____ |
| TOTAL FAMILY SOUVENIR T-SHIRTS | _____ X $10 | = $__________ |
| PLEDGE GIFT AMOUNT | = $__________ | |
| TOTAL AMOUNT OF YOUR CHECK | = $__________ |
THE MONTGOMERY FAMILY REUNION
LWF Communications

Posted by:
Trotwood, Ohio
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