Commemorative T-Shirt & Sweatshirt

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Orders must be placed by September 21, 2007. Please mail form and check/money order
payable to Grimsley Whirlies ’87 Reunion Fund c/o Kim Wingfield Campbell 3115
Westbury Way, Jamestown, NC 27282.
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First Name Spouse/Partner
Name
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Last Name (Maiden) Last Name (Married) Address
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City, State, Zip Name(s)
of Children
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Home Phone Alternate
Phone
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E-mail Address
Price: $12.00 – per
T-Shirt $18.00 – per Sweatshirt
Order: Put the number of items you want in the box
by the size needed.
T-Shirt(s): Small Medium Large X-Large XX-Large
Sweatshirt(s): Small Medium Large X-Large XX-Large
Total enclosed:$
To keep postage
down the item(s) can be picked-up Friday night at the Grimsley vs. Page Game or
at the tour on the campus of Grimsley on Saturday. If you are not attending the reunion and
would like a t-shirt/sweatshirt please indicate here and it will be mailed to you at the address
supplied above.