The 2015 Stone Family Reunion Registration and Order Form

Names

Birthday

Age

Gender

10

11

12

Reunion Dues

Pricing

# People

$ Cost

Send completed registration form

Age 0 - 5

FREE

along with your payment to:

Age 6 - 12

$15

Clayton Stockton

Age 13 - 16

$25

901 Seymour

Age 17+

$45

Jackson, MI 49202

Total

REGISTRATION DUE BY:

June 30, 2015

T-Shirt Orders

Pricing

# Shirts

$ Cost

Child Small

$10

Child Medium

$11

Child Large

$11

Small

$14

Medium

$14

Large

$14

X - Large

$14

XX - Large

$15

XXX - Large

$16

XXXX - Large

$18

XXXXX - Large

$21

=
Total $

TOTAL AMOUNT ENCLOSED $