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    CRISP and PIRTLE FAMILY REUNION WEEKEND JULY 1-3, 2016 ATLANTA, GEORGIA REGISTRATION FORM PRIMARY contact information FIRST NAME MIDDLE NAME MAILING ADDRESS CITY HOME PHONE CELL PHONE LAST NAME email REUNION ATTENDEES Please list the family members that will be AT the REUNION, including the Primary Contact.

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    CRISP and PIRTLE FAMILY REUNION WEEKEND JULY 1-3, 2016 ATLANTA, GEORGIA REGISTRATION FORM PRIMARY contact information FIRST NAME MIDDLE NAME MAILING ADDRESS CITY HOME PHONE CELL PHONE LAST NAME email REUNION ATTENDEES Please list the family members that will be AT the REUNION, including the Primary Contact.

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    © All Rights Reserved
    Descărcați ca PDF, TXT sau citiți online pe Scribd
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    28 vizualizări2 pagini

    Registration Form

    Încărcat de

    api-286952376
    CRISP and PIRTLE FAMILY REUNION WEEKEND JULY 1-3, 2016 ATLANTA, GEORGIA REGISTRATION FORM PRIMARY contact information FIRST NAME MIDDLE NAME MAILING ADDRESS CITY HOME PHONE CELL PHONE LAST NAME email REUNION ATTENDEES Please list the family members that will be AT the REUNION, including the Primary Contact.

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    © All Rights Reserved
    Descărcați ca PDF, TXT sau citiți online pe Scribd
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    CRISP & PIRTLE FAMILY REUNION WEEKEND

    JULY 1-3, 2016 ATLANTA, GEORGIA REGISTRATION FORM


    PRIMARY CONTACT INFORMATION
    Please input the information for the person you would like us to contact for reunion purposes.
    FIRST NAME

    MIDDLE NAME

    MAILING ADDRESS

    CITY

    HOME PHONE

    CELL PHONE

    LAST NAME
    STATE

    ZIP CODE
    EMAIL

    REUNION ATTENDEES
    Please list the family members that will be attending the reunion, including the Primary Contact.

    FIRST NAME

    MIDDLE NAME

    LAST NAME

    SUFFIX
    (I.E. JR., III)

    RELATIONSHIP
    TO YOU

    1.

    GENDER BIRTHDATE AGE

    T-SHIRT
    SIZE

    PLEASE LIST ANY ALLERGIES,


    DIETARY, OR SPECIAL
    ACCOMMODATIONS

    Self

    2.
    3.
    4.
    5.
    6.
    7.

    LODGING INFORMATION

    Please indicate how many rooms you will need so that we can block enough rooms. Rooms should be booked directly with the hotel. Rates available August 2015.

    ROOM TYPE

    DESCRIPTION

    DOUBLE

    Two full or queen beds in each room.

    KING

    One king bed in each room.

    SUITE

    Two full or queen beds or one king bed in each room plus a sofabed.

    QUANTITY

    SPECIAL ACCOMMODATIONS

    PLEASE COMPLETE REGISTRATION FORM AND SEND WITH PAYMENT!


    You can mail the form or scan and email it to familyreunion.crisp@gmail.

    Page 1 of 2

    CRISP & PIRTLE FAMILY REUNION WEEKEND


    JULY 1-3, 2016 ATLANTA, GEORGIA REGISTRATION FORM

    PAYMENT INFORMATION

    Reunion Dues cover the cost of the building rental, select meals per day for each paid family member, the reunion
    memorabilia included in your welcome packets and select weekend activities. Children dues should be paid based on their
    AGE AT THE TIME OF THE REUNION. We strongly encourage you to pay as soon as possible. The due dates are set
    and any funds not received or postmarked by the due date will be subject to a balance due that will need to be paid
    before receiving your welcome packet. RATES ARE PER PERSON! Payment plans and extended time to pay dues
    are available upon request!

    REUNION DUES MUST BE PAID BY:

    APRIL 20, 2016


    CALCULATE HOW MUCH YOU NEED TO SEND BELOW

    REUNION DUES

    QUANTITY

    SENIORS (AGES 70+)


    ADULT (AGES 16+)
    YOUNG ADULT (A 12-15)
    CHILD (AGES 5-11)
    TODDLER (AGES 4)

    $40 per person


    = $
    $60 per person
    = $
    $25 per person
    = $
    $15 per person
    = $
    FREE
    = $ 0.00
    ADDITIONAL FAMILY ITEMS
    QUANTITY
    RATE
    SUB-TOTAL
    x $15 per shirt
    = $
    x $40 per book
    = $
    x $40 per person
    = $
    x
    = $
    TOTAL = $

    GES

    Its A Crisp-Pirtle Thing T-Shirt

    Family Genealogy Book


    Sponsor A Senior
    General Donation

    RATE

    AMOUNT DUE

    PAYMENT TYPE
    PAYPAL

    CASHIERS CHECK

    SUB-TOTAL

    AMOUNT SENT

    MONEY ORDER

    (CREDIT/DEBIT CARD)

    PAYMENT PLANS AVAILABLE UPON REQUEST!

    MAKE CASHIERS CHECKS


    & MONEY ORDERS OUT TO:
    Stevonne D. German

    SEND PAYMENTS TO:


    Crisp & Pirtle Family Reunion
    P.O. Box 1601
    Smyrna, GA 30081-1601

    PLEASE COMPLETE REGISTRATION FORM AND SEND WITH PAYMENT!


    You can mail the form or scan and email it to familyreunion.crisp@gmail.

    Page 2 of 2

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