BURNAM SIMPSON FAMILY REUNION REGISTRATION FORM Sheet1 (2) (PDF)
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2017 BURNAM-SIMPSON FAMILY REUNION REGISTRATION FORM
Dues & Registration Deadline Date:
JUNE 1, 2017
REUNION DUES
Attendees First & Last Name
Age
Price Per
Person Quantity Subtotal
Adults
Age: 18+
$40.00
$
Youth
Age: 13-17
$15.00
$
Children
Age: 0-12
$0.00
N/A
Additional
PER
Fee *
$10.00 PERSON
*for reunion event expenses
$
Please attach another sheet for additional attendees
TOTAL DUE
Make checks payable to: Carol Miller
Contact person for your registration:
Mail check AND form to: Carol Miller
19334 Stansbury St.
Name:
Detroit, MI 48235
313-341-3249- home
Phone number:
313-492-7536-cell
Hotel Reservations for Springhill Suites Marriott
Will reserve rooms for: __________ 7/7/17 __________ 7/8/17
Attending Friday Night Welcome:
___________ # of people attending
____________ I/we will NOT be attending
Saturday Family Reunion Event:
___________ # of people attending
____________ I/we will NOT be attending
Saturday Night Bowling:
___________ # of people participating
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