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Please complete the following form and return when making your reservation and/orregistration payment for the upcoming BCMS Family Reunion. The form will help us inordering t-shirts and providing correct numbers to the catering services. Thank you.
 Your Name:
 __________________________________________________________________  __________ 
Spouse/OtherName:
 __________________________________________________________________  ___________ 
Teens/ChildrenAges:
 __________________________________________________________________  ___________ 
Address:
 __________________________________________________________________  ___________ 
City/State:
 __________________________________________________________________  ___________ 
Telephone(Home):
 ____________________________  ____ 
(Mobile)
: _______________________________ 
Email:
 __________________________________________________________________  ___________ 
Adults paying for All listed activities by June 1, 2009 – PAY: $120.00 A savingsof $20.00.Below are the applicable fees for the various activities.
 
ReunionActivityAdult(18 - Older)Teen(12 – 17 yrs)Child(4-11yrs)
Old FashionPicnic
$20.00$15.00$5.00
MemorialBreakfast
25.0015.005.50
Banquet
52.0035.0025.00
SundayWorship
8.003.502.00
T-Shirt
15.0010.007.00
ScholarshipFund
20.0016.5010.50
Please fill in the activities fee table below to assist in the processing of yourregistration:ParticipantPicnicBreakastBanquetSundayWorshipT-ShirtScholarshipFundTotal*Adult(s)
REGISTRATION CONFIRMATION
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