Phillips-Jordan Family Registration Form
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Will you attend the 2025 Phillips-Jordan Reunion 7/4/25-7/6/25?
Yes
No
Maybe, will know by June 1st
Which one of Frank & Pearlie Phillips' children do you descend from?
Please Select
Arbrie Hollowell
Mary Francis Laws
Alma Parham
Dorothy Anderson
Frank Phillips JR
Earline Phillips
Florence Corbett
Wendell Phillips Sr
Mary Moore
Joe Phillips
Eddie Phillips
Rita Stovall
Grace Romero
How many minor children in your household ages 0-17 will attend the reunion?
1
2
3
3+
Do you have food allergies? Please list them here.
Please select your diet preference.
I eat everything
Meatless
Vegetarian Only
Vegan Only
No beef or pork
How many total from your family household will attend the reunion?
How will you pay your reunion fees?
Please Select
Cash App- $lestovall2
Zelle- lestovall@bellsouth.net
Cashier's check or money order
How many adults will attend the reunion in your household?
1
2
3
4+
My Products
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Adult Reunion Price [Ages 18-79]
Enter description
$50.00
$
50.00
Quantity
1
2
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5
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10
Child Reunion Price [Ages 5-17]
$25.00
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Toddler Child [Ages 4 and under]
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Silver Seniors [Ages 80+]
Free
$
Free
Quantity
1
2
3
4
5
6
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9
10
Submit
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