Please copy the form below, fill it out and send it to LenM25@hotmail.com
(substitute the o by an x)
Couples can use one form for both partners.
Name: Surname: Adresse: E-mail: Phone number:
ο will regretfully not attend
ο will register for "L&M 25"
Please specify the nature of your relationship to Leen and/or Michel:
Family: ο son L&M ο daughter L&M ο father Leen ο mother Michel ο father Michel ο sister Leen ο sister Michel ο brother Leen ο brother Michel ο aunt Leen ο aunt Michel ο uncle Leen ο uncle Michel ο nephew Leen ο nephew Michel ο niece Leen ο niece Michel ο sister-in-law Leen ο sister-in-law Michel ο brother-in-law Leen ο brother-in-law Michel
Friends: ο friend of one of the kidsvriendin van 1 van de kids ο friend of Leen ο friend of Michel ο friend L&M ο friend L&M
Co-worker/Neighbour: ο co-worker Leen ο co-worker Michel ο partner of co-worker Leen ο partner of co-worker Michel ο neighbour L&M
If you have an anecdote or a pleasant memory of Leen and Michel:
Do you have a picture of Leen and Michel as a couple? You can send it together with this form.
