2022 vip registration

2022 Reunion Rally VIP Registration
You can register up to three people on this form. $45 for a single, $80 for couple and $125 for three people. If you have problems filling out this form, call Sylvia 478-494-7992
Single $45 Or Couple $80 or 3rd Wheel $125
NAME
ADDRESS
CITY, STATE, ZIP
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Select your Shirt size
SPOUSE NAME
2nd person (spouse) shirt size
3rd Person Full Name

First NameLast Name
3rd person shirt size
Do You Want a Hotel Room?
Which Hotel do you prefer? Baymont $119 / Holiday Inn Express $135
Check In Date

MonthDayYear
Date
Check Out Date

MonthDayYear
Date
Special requests
Registration
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VIP Registration
Registration fee

$45.00 Quantity

Total

$0.00

Debit or Credit Card

Choose from one of the PayPal options to make your payment.