Smart Family Reunion 2021
July 16-18, 2021 | Atlanta, GA
Date: |
_______________________________________________________________________ |
Name: |
___________________
|
________________________________ |
____________ |
|
Last |
First |
MI |
Address: |
_______________________________________________________________________ |
City: |
__________________________ |
State: |
______ |
Zip Code: |
___________________ |
Phone: (H) |
___________________ |
(C) |
________________ |
(W) |
___________________________ |
Email: |
_________________________________________________________________________ |
|
|
|
|
|
|
|
|
|
|
REGISTRATION (Three convenient options to register):
1. Online: http://smartfamily.eventbrite.com (Please note Eventbrite will charge a service and payment processing fee upon checkout)
2. Email your registration form (and use Zelle or CashApp to make payments).
a. Email form to smartfamily411@gmail.com
. Cash App:$Kaykcooper (cash app handle)
. Zelle: Send to "Karen Cooper" using her email address for account identification:
kaykcooper@gmail.com
3. Mail: Registrations should be postmarked by 6/10/21. Registration price covers all reunion events.
Make checks or money orders payable to:
Karen Cooper
1385 Nixon Chapel Road, Springfield, GA 31329
A $30.00 fee will be assessed for all NSF items and those registrations will not be processed.
REGISTRATION PRICES (includes one reunion Tee-Shirt per registration):
*Important Note: All payments, including installment payments, cannot be refunded, but they can be transferred.
|
|
|
|
|
|
Select Tee-Shirt Size |
Quantity |
Cost |
Total |
Adult Registration |
□ S □ M □ L □ XL □ 1X □ 2X □ 3X |
__________ |
$ 130.00 |
$__________ |
10 – 3 yr. olds Registration |
□ S □ M □ L □ XL □ 1X □ 2X □ 3X |
__________ |
$ 70.00 |
$___________ |
2 and under Registration |
□ S □ M □ L (Child Sizes) |
__________ |
$ 25.00 |
$___________ |
|
|
|
|
|
Individual Event |
|
|
|
|
Saturday |
|
|
|
|
Banquet-only
|
|
@ |
$50.00 |
|
Ordering Additional Reunion Tee-Shirts? |
|
|
|
Adult Sizes (S – XL) |
□ S □ M □ L □ XL |
__________ |
$ 12.00 |
$___________ |
Large Adult Sizes (1X – 3X) |
□ 1X □ 2X □ 3X |
__________ |
$ 13.00 |
$___________ |
Child Sizes (S – L) |
□ S □ M □ L |
__________ |
$ 12.00 |
$___________ |
|
|
|
|
|
|
|
|
Total amount enclosed: |
|
|
$___________ |
|
|
|
|
|
Vegetarian Meal Required? |
YES |
□ |
Food Allergies: |
_________________________________ |