(Note: use this form only if you will be mailing your payment in)

Porterfield Family Reunion

Registration Form

 

June 20 – 21, 2008

Memphis, TN

 

Main contact: (First) _______________________ (Last) ________________________

Address___________________________________________________ Apt_________

City ______________________________ State _____________ Zip _____________

Phone (____) ___________________  E-mail: ______________________________

List the names of everyone in your party (copy this form if you need more space)

Name ________________________________ Age ____ Shirt Size*(Adult/Child)____

Name  ________________________________ Age ____ Shirt Size (Adult/Child)____

Name  ________________________________ Age ____ Shirt Size (Adult/Child)____

Name  ________________________________ Age ____ Shirt Size (Adult/Child)____

Name _________________________________ Age ____ Shirt Size (Adult/Child)____

Name _________________________________ Age ____ Shirt Size (Adult/Child)____

Will anyone from your party be coming in from out of town?   Yes    No

*Shirt Sizes: Adult S,M,L,XL, 2XL,3XL, 4XL, 5XL  
                   Child: XS(2-4), S(6-8), M(10-12), L(14)

My total party will consist of:                   

______ Adults                         x $25.00    = $__________       
______ Kids (under 11)          x $15.00    = $__________       
______ Adult T-Shirts            x $15.00    = $__________
______ Child T-Shirts            x $10.00    = $__________

                                                          Total   $ _________ 

Make checks payable to ‘Porterfield Family Reunion’.  Send to:

Rose Lindsey, 451 Norway Circle, Yorkville, IL, 60560