Commemorate Our 40th Reunion

With Ben Lomond
High School
Class of 1965
Alumni T-Shirts
and Polo Shirts

Shirt

Small - X Large

XX-Large

XXX-Large

XXXX-Large

T-Shirt

$12.00

$13.50

$15.00

$16.50

Polo

$25.00

$26.50

$28.00

$29.50

Order Form

Name ___________________________________________________________________

Phone # _________________________________________________________________

Street ___________________________________________________________________

City, State, Zip ___________________________________________________________

T-Shirt

Item
No

Size
Small - XXX-Large

Color
Red, White, Blue

School Name
Yes or No

Quantity

1

 

 

 

 

2

 

 

 

 

Polo Shirt - Men

Item
No

Size
Small - XXX-Large

Color
Red, White, Blue

School Name
Yes or No

Quantity

1

 

 

 

 

2

 

 

 

 

Polo Shirt - Women

Item
No

Size
Small - XXX-Large

Color
Red, White, Blue

School Name
Yes or No

Quantity

1

 

 

 

 

2

 

 

 

 

* Shipping is $4.00 extra (if out of State, or not attending, please include you address).
* Total Amount $_________ (If attending, please include this amount on your Registration Form).
* Please mail this form after filling out and sending the "Interactive Registration Form.
* If mailing the Printable Registration Form, please include this form with that form.

Mail to: Mike Wimmer
413 Washington Blvd
Ogden, UT 84404

Questions:
Call Maryjo at
801-773-1211

Shirt deadline June 1, 2005