Jackson
Brigade 2012 Reunion Registration
This registration
form and payment must be received by June 30, 2012
Make checks
payable to ÒJackson Brigade, Inc.Ó
and
mail to John M. Jackson ¥ 2675 Old Fort Road ¥ Blacksburg, VA 24060
Name___________________________________________________________________
Phone____________________________
Email_________________________________
Address__________________________________________________________________
City________________________________
State____________ ZIP_________________
Please provide the
names of those in your party and from which Jackson-Cummins line each descends
(e.g., George line, Sophia line, etc.) For children, please also include the
ages of each.
|
|
|
|
|
|
|
Reception – Friday, August 3, 2012 |
||
|
Price Each |
x
Number attending |
Total |
|
$0.00 |
|
$0.00 |
|
SUBTOTAL A |
|
$0.00 |
|
Downtown Lexington tour – Friday, August 4,
2012 |
||
|
Price Each |
x
Number attending |
Total |
|
(Walking tour) $0.00 |
|
$0.00 |
|
(Carriage tour) $12.00 |
|
$ |
|
SUBTOTAL B |
|
|
|
VMI and Lee Chapel visits – Saturday, August
4, 2012 |
||
|
Price Each |
x
Number attending |
Total |
|
Donations at entries |
|
N/A |
|
Stonewall Jackson House visit – Saturday,
August 4, 2012 |
||
|
Price Each |
x
Number attending |
Total |
|
$7.00 |
|
$ |
|
SUBTOTAL C |
|
$ |
|
Banquet – Saturday, August 4, 2012 |
||
|
Price Each |
x
Number attending |
Total |
|
$25.00 |
|
$ |
|
SUBTOTAL D |
|
|
|
Picnic – Sunday, August 5, 2012 |
||
|
Price Each |
x
Number attending |
Total |
|
$10.00 |
|
$ |
|
SUBTOTAL E |
|
$ |
|
TOTAL (Add Subtotals A-E) |
$ |
|