FAMILY FUN WEEKEND REGISTRATION FORM

Deadline to register is April 13th, 2013.  Register on-line or print out and complete this registration form and mail with payment to:

Office of Alumni Relations
Lewis-Clark State College
500 8th Avenue
Lewiston, ID 83501

Please make checks payable to LCSC Alumni Association.  For more information, please contact LCSC Alumni Relations,  Phone: (208)792-2458 or Email: alumni@lcsc.edu.

On-Line Registration Form
Students Name:
Family Members Attending:
Address:
City, State, Zip
Phone:
Email:
Shirts:   Click here to view all styles.   T-Shirt S – XL $10.00 2XL + $15.00 Jersey Shirt S – XL $20.00 Hooded Sweatshirt S-XL $25.00 2XL + $30.00	Total # of T-Shirts you would like: What size t-shirt(s) would you like? (Please enter sizes separately divided by a comma.)   Total # of Jersey Shirts you would like: What size jersey shirt(s) would you like? (Please enter sizes separately divided by a comma.)   Total # of Hooded Sweatshirts you would like: What size hooded sweatshirt shirt(s) would you like? (Please enter sizes separately divided by a comma.)
Total $ Amount Due:
Payment Information
Method of Payment:	Check Visa MasterCard Discover
Name on Card:
Address:
City, State, Zip
Phone:
Card Number:
V-Code:
Expiration Date:
Signature: