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HALL-PORTER FAMILY 2011 REUNION REGISTRATION NAME: _________________________________________ PHONE NUMBER: (____ ) _________________ ADDRESS: __________________________________________________________________________________ _________________________________________ CITY:____________________STATE:_____ ZIP CODE:______ e-mail: _____________________________________________________________________________________ Please list names and ages of the attendees you are paying for (include yourself and the T-shirt size requested). First name ________________ Last name _________________ Age ______ T-Shirt size ____ First name ________________ Last name __________________ Age _______ T-Shirt size _____ First name ________________ Last name __________________ Age _______ T-Shirt size _____ First name ________________ Last name __________________ Age _______ T-Shirt size _____ First name ________________ Last name __________________ Age _______ T-Shirt size _____ (List any additional names on a separate registration form and pay separately) Do you desire to have the above information included in the Family Directory Booklet. YES ______ or NO ______ Any specifications: ______________________________________________________________________________ REUNION FEES: ____ Adults - Ages 12 & up @ per person $__125.00_ (Includes: Welcome Reception ($10.00), Banquet ($40.00) Picnic ($25.00), bus tours/transportation ($40.00), & T-Shirts ($10.00). After March 18, 2011 (late registration) Ages 12 & up @ per person $130.00 ______Children Ages 3-11 @ per person $_70.00__ (Includes: Welcome Reception, Banquet, Picnic, bus tours, transportation, & T-Shirt (child size) After March 18, 2011 (late registration) Children Ages 3-11 @ per person $75.00 OPTIONAL SUNDAY PRAYER BREAKFAST/BRUNCH ___adults @ $25.00 _____ ___children@$15.00 ______ T-SHIRT ORDER INFO: (Additional T-Shirts may be ordered separately.) _____ Adult Medium @ $10.00 _____ Adult Large @ $10.00 _____ Adult X-Large @ $10.00 _____ Adult XX-Large @ $10.00 _____ Adult XXX-Large @ $10.00 _____ Child Small @ $10.00 _____ Child Medium @ $10.00 _____ Child Large $10.00 Additional T-Shirt Total $ __________ Prayer Breakfast/Brunch $ __________ Reunion Fees Total $ __________ FINAL TOTAL $ __________ To pay by check please download form, complete, and send to: Hall Porter DC 2011 Jean Bailey P.O. Box 8382 Silver Spring, MD 20910 Contact information: Jean Bailey Phone: (202) 421-5552 Email: jeanbailey.hallporter@gmail.com To pay by credit card online please click on this link: |
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