|
|
ASSESSMENT AND T-SHIRT ORDER FORM Names of Family Members Adults 13 and older - $80.00 ______________________________ ____________________________ ______________________________ ___________________________ Children 5 -12 - $35.00 _____________________________ ___________________________ _____________________________ ___________________________ Children 4 and under – FREE ________________________ ___________________________ __________________________ ___________________________ Total Assessment Amount: _________________ T-Shirts: Adult sizes: $12.00 – Children sizes: $8.00. Please, put the quantity for each desired size. Adult: S_____ M_____ L_____ XL_____ 2X_____ 3X_____ 4X_____ Child: S(8-10)_____ M(10-12)_____ L(14-16)_____ XL(16-18)______ Total T-Shirt Amount :______________ Total Assessment & T-Shirt Amount Enclosed : ___________ Make checks or money orders payable to: Lawrence-Spruill Reunion Mail payments as soon as possible to: Marva Coley Brown 6222 White Birch Lane Matteson, IL 60443 |