The Mallet Family Reunion

6/23/2012

2012 Registration Form

ADDRESS

Immaculate Conception Hall

Lebeau, La

Registration Fees are as follow:

    Adults: 30.00  

Children 5-17: 10.00

Under 5: Free

Note: Registration cost includes food and all activities.

Register online at Mallet Family Reunion.

Fill out the form. Submit the information and print out the verification page.

Calculate the cost for your family.  Write a check in this amount payable to the Mallet Family Reunion fund.

MAIL CHECKS PAYABLE TO:

"Mallet Family Reunion"

c/o Patricia Offord Mallet 
930 Old Hickory Rd
Washington, La, 70589

HOME:337-826-7923

CELL: 337-308-9523

c/o Donald Mallet
        112 Santa Ines

New Iberia, La 70563

337-967-0813

MALLET FAMILY REUNION 2012 REGISTRATION FORM

NAME: 

SPOUSE NAME: 

EMAIL ADDRESS: 

ADDRESS 1: 

ADDRESS 2: 

CITY:      STATE:    ZIP: 

TELEPHONE NO: 

NUMBER and NAMES OF CHILDREN UNDER 5 YEARS OF AGE THAT WILL BE ATTENDING:     (FREE)

NUMBER and NAMES OF SCHOOL AGE KIDS THAT WILL BE ATTENDING:    X ($10.00) =

NUMBER and NAMES OF ADULTS THAT WILL BE ATTENDING:     X ($30.00) = 

T-SHIRT ORDERING FORM:

The cost of t-shirts for the 2010 MALLET FAMILY REUNION ARE AS FOLLOWS:

CHILDREN SIZES:

   Size X-SM (extra small 2-4) X $10.00 = $ .00

   Size S (small 6-8)  X $10.00 = $ .00

   Size M  (medium 10-12) X $10.00 = $ .00

   Size L (large 14-16) X $10.00 = $ .00

   Size XL (extra-large 18-21) X $10.00 = $ .00

ADULT SIZES:

   Size S (small) X $10.00 = $ .00

   Size M (medium) X $10.00 = $ .00

   Size L (large) X $10.00 = $ .00

   Size XL (extra large) X $10.00 = $ .00

   Size XXL - XXXXXL (extra extra-large to 5 extra large) X $12.00 = $ .00

   Size XXXL (extra-extra-extra large) X $12.00 = $ .00

TOTALS

  TOTAL SHIRTS ORDERED       TOTAL AMOUNT DUE:   $.00

  TOTAL SHIRTS ORDERED    +    TOTAL FROM REGISTRATION FEES   =   TOTAL AMOUNT DUE:   $.00