Online Registration Form

General Information

First Name *

Middle Name

Last Name *

Address

Address 2

City

State

Zip

If possible, state the 9 digit format (12345-1234)

Phone

Please include area code (123-456-7890)

E-mail *

GMS Information

How many years did you attend GMS? Years

Were you in a Senior Class at GMS?

Yes

If Yes, what was the year of your Senior Class? 19

What was the Last Year you attended GMS? 19

What Class were you in that Last Year?

Known Then As

Known Now As

Company

Rank

Attendees by Name

Names of those attending

Please enter each name attending with you on a separate line (so we can make name tags).

Attendees by Number

How many will be attending the following events?

Thu. Night: Cocktail Party at the Visitors Center / 6PM, Oct. 18th / $10 per person

Fri. Night: Barbeque at the Sharp Center, WVSOM / 6PM, Oct. 19th / $25 per person

Sat. Morning: Ladies Breakfast the Elks Country Club / 9AM, Oct. 20th / $15 per person

Sat. Night: Dinner & Dance at the Greenbrier Hotel / 6:30PM, Oct. 20th / $125 per person

Total Event Cost: $

Membership & Event Fees

Please describe how you will pay for your membership dues and event fees. If PayPal is selected, you will be led to PayPal for payment upon submission. PayPal accounts are not required; you will be able to securely enter your card information by following the instructions on the next page.

How would you like to pay the membership dues? *

I would like to pay my $30 membership dues upon submit via PayPal (Credit Card / Debit Card)

I would like to mail a $30 check to "GMS Alumni Association, PO Box 922, Lewisburg, WV 24901"

I have already paid this year's membership dues

I am a life member

How would you like to pay the event fees? *

I would like to include these fees upon submit via PayPal (Total will be calculated when you add event attendees)

I would like to include these fees in the check mailed to "GMS Alumni Association, PO Box 922, Lewisburg, WV 24901"

I am not attending any events

Grand Total: $

Those writing checks must make note of the Grand Total amount listed above before submitting.
Please note that online payments will have a small transaction fee (included) once you proceed to the next page.

Word verification *

Type the characters you see in this picture.

(verify using audio)

Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.

The Greenbrier Military School Alumni Association

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The Greenbrier Military School Alumni Association

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