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KEYAUWEE STAFF ALUMNI INFORMATION SHEET & MERCHANDISE ORDER FORM Name (First, Maiden, Last):___________________________________________________________ Camp Name: ______________________ Summers you were at KPC: _________________________ Address: _______________________________________________________________ City, state, zip: __________________________________________________________ Phone number: _______________________ Email: ___________________________________________ Are you a Weekeya member? (Circle one) Yes No *************************************************************************************

Official Staff Reunion Merchandise Official Staff reunion t-shirt $10 each x __ shirts=$____ T-shirt sizes needed: __YS __YM __ YL __ AS __ AM __ AL __ AXL __ A2XL __ A3XL Long sleeve t-shirt – “All I Ever Needed to Know I Learned on Staff at KPC.” $20 each x __ shirts=$____ T-shirt sizes needed __ AS __ AM __ AL __ AXL __ A2XL __ A3XL Hooded sweatshirt: __ AS __ AM __ AL __ AXL __ A2XL __ A3XL $30 each x__ hoodies=$____ 16 oz drinking glass with staff alumni logo $12 each x__glasses=$____ Shipping charge (add $10 if you would like your order mailed to you) $_______ To avoid shipping charges, you may pick up your merchandise no later than October 31, 2011 at one of the following locations (Please indicate your choice) From Bonnie Macumber at the Council service center in Colfax OR From Charlotte Elliott at KPC MERCHANDISE TOTAL DUE TO GSCP2P:$___________

ALL merchandise orders must be placed & paid by September 30, 2011. *************************************************************************************

Give Back to KPC For over 65 years, Keyauwee has provided lifetimes of memories, friendships and experiences for so many people. Please consider making a tax-deductible gift to KPC through Girl Scouts Carolinas Peaks to Piedmont, the 501(c)3 organization that operates the camp. Your donation will help fund many needed improvements and projects at KPC and help ensure that we can provide a quality camp experience for years to come. Thank you for your gift to Keyauwee! ************************************************************************************* MERCHANDISE TOTAL DUE TO GSCP2P: $___________ TOTAL FINANCIAL GIFT TO KPC THROUGH GSCP2P: $___________ TOTAL DUE TO GSCP2P: $____________ Cash , check or Money Order enclosed _________ *** Make checks & MOs payable to GSCP2P Credit Card Payment AmEx Visa MasterCard Discover Card # ________________________________________ Exp ____/_______ CVV# ________ Name on card:__________________________________________________ Billing address (if different from above)_____________________________________________________ _____________________________________________________________________________________ Mail payment and form to: GSCP2P, Attn Bonnie Macumber, Triad Service Center, 8818 W Market St, Colfax, NC 27235 Fax to Bonnie’s attention: 336-369-7446 or email it to (Credit cards only)

KPC Alumni Info and Order Form