LOMT

RETREAT REQUEST FORM

2010 CLS/LOMT STAFF REUNION REGISTRATION FORM
Monday, January 4, 6pm - Wednesday, January 6, 1pm
Camp Lone Star, 2016 Camp Lone Star Rd, Le Grange, TX 78945

In order to complete your 2010 on-line registration, you must do the following:

1. Complete the registration form below.

2. After filling out the form AND before submitting it, please
PRINT a copy of the form for your own records.

3. After Submitting your Registration, pay for your registration by
selecting the items on the Pay-Pal that you submitted on the Registration Form.

Complete the form. (all required fields are marked with an*)
CLS/LOMT Staff Reunion Registration Form
Name: *
Address:*
City:* State:* Zip:*
Phone:*
Email:*

Gender:* Male Female

CHECK LODGING REQUESTED: (Bring your own linens & pillow, etc.
Lodging is in the cabins.)

Monday night, January 4, 2010

Tuesday night, January 5, 2010

CHECK MEALS REQUESTED:

Tuesday Brunch

Tuesday Supper

Wednesday Breakfast

Wednesday Lunch

Please Print a copy of this Registration Form for your records
before you submit it !

To contact the LOMT Registration Office:
Mailing Address: P.O. Box 457, La Grange, Texas 78945
E-mail Address: registrar@lomt.com
Telephone: Local 979- 247- 4128
Long distance: 800-362-2078
Fax: 979- 247- 4120