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:
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Home      Past Reunions  
Pay your dues (family members) and fees for guests (non-family members) below:
Sizes
Sizes
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
Family Members Only
Specify who the payment is for
Family Members Only
Specify who the payment is for
Family & Guest Fees
Enter name of family & guests