Attending
Yes
No
Name:
Address:
 City:                                           ST:          ZIP:
Banquet - Saturday July 2, 2011
$18 per
person
Banquet Preference & How Many
Total Meals
Total $
Roast Beef
Chicken
X $18
Make check payable to:
Blunt All-School Reunion

Mail your check to:
De Welch Knudson
P.O. Box 52
Blunt, SD  57522
Picnic - Sunday July 3, 2011
$7 per
person
Total Meals
Total $
X $7
T-Shirts & Cap
Total $
Size
Cost
Qty
Small
$10
Medium
$10
Large
$10
X-Large
$12
1X-Large
$12
2X-Large
$12
3X-Large
$12
Cap
$5
Apparel Totals
Additional Note or Comment:
When you have completed the form
indicating your preferences, simply
click on the "Submit.." button above.
Enter the number (1,2,3, etc..) in the blank
next to the size/s you want.  You only
need to do the one or ones you want.
Blunt 2011 All School Reunion shirt/cap order & registration form
Check must be received prior to items being shipped.  
To reserve your shirt/s for pickup just fill out the name and size
information and mail your payment to the address listed.