2013 Registration Form

2015 Sims-Gant
Family Reunion
T-Shirt/Dues

T-shirt Order Form & Contact Information

First Name:

Last Name:

Street:

Home Phone:

Cell Phone:

City:

Zip:

State:

ORDERS WITH PAYMENT ARE DUE BY MAY 20,2015 AND MAILED TO THE *ADDRESS BELOW. Or you may order by using
this form and paying with PAYPAL. No extra shirts will be ordered. Emailed order changes will be accepted only with prior PAYPAL or
prior mailed payment. ALL ORDERS must be in writing ... NO phone orders will be accepted. This will eliminate"I thought I
ordered..." I will refund the price for my order errors and try and re-sell at .50discoutns.

First & Last Name

Date of Birth

Shirt Size

E-mail Address/ Phone Number:

10.

Home Past Reunions

Pay your dues (family members) and fees for guests (non-family members) below:

To purchase your shirts with paypal select the size shirt you want and add it to the cart. When you are finished adding
your shirts check out through Paypal's secure site. You can pay your dues below also. Remember that your dues allows
the club to provide scholarships, provide gifts during times of bereavement, and assist with the Family Reunion.

Adult

Children