If not doing electronic registration please print and return this form with the registration fee by September 18, 2025. Link for electronic registration at the bottom of this page.

(Fee Breakdown: Registration, meeting room and incidentals – $40; D-Day Memorial Tour – $10; Bedford Boys Tribute Center – $5; Banquet Fee $57. For a total of $112 per person).

Number of People Attending: ______________________

Registration, Tours, and Banquet Fees @ $112 per person $________________________

Total $________________________

Name/Names and City, State of people who are attending (for name tags)

_________________________________________________________________________

_________________________________________________________________________

Phone and email: ___________________________________________________________

I am from the Leftwich Line of: _________________________________________________

Mail your Registration form and check made payable to Leftwich Historical Association by September 18, 2025 to our Treasurer;

Nancy Jay, LHA Treasurer
4305 Hyridge Dr
Austin, TX 27759

OR (preferred) Register and pay on-line at www.leftwich.org using the following link: 2025 Leftwich Reunion Registration