2012 Registration

2012 OROZCO FAMILY REUNION REGISTRATION FORM Saturday, July 7, 2012 in Somerville, Texas 77879
Name: _____________________________________________________________________

Address: ___________________________________________________________________

City: _______________________________State: ________________
 Zip Code: _________ Telephone No.: (_____)________________
E-mail Address: __________________________
The Names of Your Individual Family Members, IncludingYourself, That Will Attend the 2012 Orozco Family Reunion:
1) __________________________   7) __________________________
2) __________________________   8) __________________________
3) __________________________   9) __________________________
4) __________________________ 10) __________________________
5) __________________________ 11) __________________________
6) __________________________ 12) __________________________
(In the event additional space is needed, you may write in the additional names of those in your individual family that will attend the 2012 Orozco Family Reunion on the reverse side of this form.) OROZCO FAMILY REUNION REGISTRATION FEE: Adults = $10.00; Children 5-10 Years = $5; Children 4 Years and Under are free. We do, however, want all children to be also registered so that we can have a good attendance count. (The registration fee has remained the same as the last reunion’s fee.) For final reunion preparation purposes, please mail in your registration form and payment or your regrets prior to or by June 23, 2012. If, if you are unable to send the entire payment by that date, please send in the registration form so that an accurate number of attendees can be determined. Thank you! Mail the Registration Form and Fee to: Orozco Family Reunion c/o Angela Orozco, Treasurer P. O. Box 742 Somerville, Texas 77879 Please leave this section blank, it will be completed by the treasurer.
Amount Due: ______________ Check No. _____________
Amount Received: ______________ Money Order No. _____________
Balance Due: ______________ Cash _____________
Date Received: ______________