Print out this registration form and mail along with payment, no later than Aug 24 to: The Willys Reunion c/o Art & Darlene Gloss 9058 County Road 389 New Bloomfield, MO 65063 Name - PLEASE PRINT CLEARLY – We will use this information to create your name tags and vehicle window I.D. cards. Additional Attendees Names (spouse, children, friends etc.) Additional Attendees Names Address City • State • Zip Phone Email address Would you like to be included in the new Willys Reunion Directory? Must be registered by Aug 17 to be included YES NO www.WillysReunion.com ALL INFORMATION ON THIS FORM IS KEPT IN STRICT CONFIDENCE. I am registering the following vehicle/s for display: Vehicle Registration: $15 one time, covers all vehicles you display (Fee will be $20 on-site at event). $ $ $ If you are not bringing a vehicle but plan to attend, a donation of at least $5 per person would greatly help defray reunion costs. Banquet Tickets: $27 each adult Number of adult tickets x $27 ea = $ $32 each adult Number of adult tickets x $32 ea = $ $15 each child 12 and under Number of children’s tickets x $15 ea = $ If you register a vehicle: If you do not register a vehicle: Willys Reunion T-Shirts and Sweatshirts x $16 ea = $ Willys Reunion Ball Caps: adjustable size Number of ball caps x $16 ea = $ Willys Reunion Poster Number of posters x $12 ea = $ Willys Reunion Sedan Delivery Diecast Vehicle/Bank Number of diecast banks x $50 ea = $ Willys Reunion Logo Mug Number of logo mugs x $ 8 ea = $ Total number of t-shirts M L XL 2XL 3XL T-Shirt Indicate quantities in size boxes See back of flier for example year model (pick-up, cj, mb, aero, etc) x $25 ea = $ Total number of sweatshirts M L XL 2XL 3XL Sweatshirt Please make checks payable to: “The Willys Reunion” Total $ Swap-meet vendor space: $25 covers all days. The Willys Reunion Registration Form Guests who register for the show receive Free Admission to the Museum
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Print out this registration form and mail along with payment, no later than Aug 24 to:
The Willys Reunionc/o Art & Darlene Gloss
9058 County Road 389 New Bloomfield, MO 65063
Name - PLEASE PRINT CLEARLY – We will use this information to create your name tags and vehicle window I.D. cards.
Additional Attendees Names (spouse, children, friends etc.)
Additional Attendees Names
Address City • State • Zip
Phone Email address Would you like to be included in the new Willys Reunion Directory?
Must be registered by Aug 17 to be included YES NO
www.WillysReunion.com
ALL INFORMATION ON THIS FORM IS KEPT IN STRICT CONFIDENCE.
I am registering the following vehicle/s for display: Vehicle Registration: $15 one time, covers all vehicles you display (Fee will be $20 on-site at event).
$
$
$If you are not bringing a vehicle but plan to attend, a donation of at least $5 per person would greatly help defray reunion costs.
Banquet Tickets: $27 each adult Number of adult tickets x $27 ea = $
$32 each adult Number of adult tickets x $32 ea = $
$15 each child 12 and under Number of children’s tickets x $15 ea = $
If you registera vehicle:
If you do notregister a vehicle:
Willys Reunion T-Shirtsand Sweatshirts x $16 ea = $
Willys Reunion Ball Caps: adjustable size Number of ball caps x $16 ea = $
Willys Reunion Poster Number of posters x $12 ea = $
Willys Reunion Sedan Delivery Diecast Vehicle/Bank Number of diecast banks x $50 ea = $
Willys Reunion Logo Mug Number of logo mugs x $ 8 ea = $
Total number of t-shirtsM L XL 2XL 3XL
T-Shirt
Indicate quantities in size boxesSee back of �ier for example
year model (pick-up, cj, mb, aero, etc)
x $25 ea = $Total number of sweatshirtsM L XL 2XL 3XL
Sweatshirt
Please make checks payable to: “The Willys Reunion” Total $
Swap-meet vendor space: $25 covers all days.
The Willys Reunion Registration Form
Guests who register for the show receive Free Admission to the Museum
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