Registration Form... print out and mail


~REGISTRATION~
Mail to & make out checks to: 
Pat Laine  c/o Springtime Family
Reunion
431 Clinton Hollow Road
Salt Point   NY  12578

  

Cajun & Zydeco Springtime Family Reunion 2007  Registration

 

 

Number of persons attending:______

 

Names:______________________________________

 

            _______________________________________

 

Address:________________________________________________

 

Phone:__________________________________________________

 

Email:___________________________________________________

 

We will be camping_________      WE have a room_______       Live locally_____

If camping, please give vehicle plate number and state__________   ___________

 

I wish to register for:   Please check any that apply:

 

Weekend Only

(will take care of my own meals)                               $40.00 _____

 

Weekend including                                                     $60.00_____

Dinner Sat, brunch Sunday

 

Weekend, including above meals and showers:      $75.00_____

 

Friday Only: no food                                                   $10.00____

Saturday Only: no food                                               $25.00_____

Sunday Only:   no food                                               $25.00_____

 

 

Saturday only with dinner                                           $37.00 ____

Sunday Only with brunch                                            $33.00____

 

 

I would like to help out by donating

An additional amount:                                                 $________

 

I would like to be a co-sponsor                                    $200.00

 

 

Total amount  :                                                            _____________

 

Please make checks payable to Springtime Reunion.