JGR
FAMILY REUNION
REGISTRATION FOR BANQUET/PICNIC 2003
Name____________________________________________________
Address__________________________________________________
City______________________________State________Zip________
NUMBER IN YOUR PARTY: (name)
1._______________________________________________________
2._______________________________________________________
3._______________________________________________________
4._______________________________________________________
5._______________________________________________________
6._______________________________________________________
ADULT COST $55.00 CHILDREN 11 &
UNDER $25.00
#Adults_______X$55.00 =______
#Children_________X$25.00=________
GRAND TOTAL $______________
Pledge to Pledge for Souvenir
Book:
Whole Page $100.00
Page
$50.00
¼ Page $25.00
MAKE ALL CHECKS/M.O.
TO GLORIA DEES
9319 S. 10th Ave ½
Inglewood, CA 90305
DEADLINE FOR MONIES/PLEDGES IS
JUNE 10, 2003
Print out this page.
