Print and mail this form with check or money order to:

Jerry Key
905 Wheelis Way                   or     Call 706-812-0352 to arrange pickup
LaGrange, GA  30240                       after 26 October.  

Please send me the completed DVD from the 2008 Reunion as indicated below.  DVD will contain all videos of the Program and the video shown during the event.  Photos taken during the event will also be included (disk space permitting).

_______ copies @ $5.00 each 

I have enclosed (Check) or (Money Order) in the amount of
_____________.

My mailing address is:

__________________________________________
(Name)

__________________________, _______, _______
(City)                                      (State)    (Zip)

E-mail address:_____________________________

Phone (Optional):(___)_______________________