Germantown Reunion Registration Form

Check here if you don't want street address listed on the website.

Check here if you don't want your e-mail address listed on the website.

Check here if you want "Spread the Word Cards" mailed to you. These cards are for you to give to others to encourage them to attend. Cards have date and website information printed on them.

First Name:____________________Last Name:______________________________

Address:_________________________________ City:____________________________

State:___________________________________ Zip Code:________________________

Phone number (day):________________________(evening):_______________________

Email:__________________________________________________________________

Number of people attending____________

Check amount___________________________Check number______________

Please address checks to James Kelly and mail with this registration form to:

Jimmy Kelly, Reunion Treasurer

519 East Altantic Blvd.

Ocean City, NJ 08226

The sooner checks are received, the sooner everyone will know who else is attending. We look forward to seeing you!