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Smart Family Reunion 2021
 
   July 16-18, 2021 | Atlanta, GA
 Text Box: Registration Form
(Please complete a separate form for each individual attending)
 
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: _________________________________