Incarnate Word Academy Catholic School

	Registration/BBQ Ticket(s) Purchase Form Please provide all the following information & Click on Submit. Your registration is INCOMPLETE without FULL PAYMENT on PAYPAL or IN PERSON AT IWA. Thank you!
NAME:		BBQ TIX	PRICE	QTY	TOTAL
PHONE NUMBER:		Adult Tickets	$15 (17.50 after May 31)
How are you connected to Incarnate Word Academy? Alumni, (of VM or IWA), Year? Former/Current faculty/staff, Former/Current Parent , Friend?		Child Tickets (Under 12)	$10 (12.50 after May 31)
		ADD $2 for S/H to cover All your tickets in a single mailing!			+$2.00
DO YOU RECEIVE MAILINGS SUCH AS NEWSLETTERS & ANNOUNCEMENTS FROM IWA? Yes No If not, please provide the following information:		SUPER REUNION T-SHIRTS ADULT SIZES SM ($15) MED ($15) LG ($15) XL ($16) XXL ($16) Size Total
MAILING ADDRESS		BLUE/GOLD (VM)		+$3.00 S/H
CITY		BLUE/GOLD (VM)		+$3.00 S/H
STATE ZIP		RED/WHITE (IWA)		+$3.00 S/H
E-MAIL		RED/WHITE (IWA)		+$3.00 S/H

GRAND TOTAL This is what you need to pay to IWA PAYPAL - go to http://www.iw-academy.org/PAYPAL.htm TO COMPLETE YOUR REGISTRATION/PURCHASE				$

SHIPPING INFORMATION (Tickets/T-Shirts):
NAME:
ADDRESS:
CITY: STATE: ZIP:

Please provide all the following information & Click on Submit. Your registration is INCOMPLETE without FULL PAYMENT on PAYPAL or IN PERSON AT IWA. Thank you!