REGISTRATION FORM

 

NAME:   First __________________  Maiden _____________________ Last _______________________

SPOUSE/FRIEND:   _____________________________________________________________________

ADDRESS:  ______________________________________________________________________________

CITY:   ____________________________________STATE ______________  ZIP  _____________________

EMAIL: ______________________________________PHONE;    (_______)__________________________

Number attending:   _____  Total Enclosed  $_________               

 

Please enclose $50.00 Per Person and return by May 20,  2022

to THS1971, 2400 14th Street East, Tuscaloosa, AL 35404.

 Make Checks payable to: THS1971 

Or Venmo @THS1971