Reunion Registration Form with Invoice

Registration Form
- Please register for the reunion by filling in the form below
- Specify the t-shirt sizes for all registrants.
- Upon submission, a copy of the form will be emailed to you.
*required
Full Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
List Additional family members attending the reunion.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
T-shirts

Insert total quantity for each shirt size.
Adult t-shirts:
Children t-shirts:
My Registration
prevnext( X )
Adult (13yrs-up) - Reunion Registration Fee
Includes T-Shirt, River Cruise & Banquet

$100.00 Quantity



Youth (5-12yrs) - Reunion Registration Fee
Includes T-Shirt, River Cruise & Banquet

$50.00 Quantity



Children (under 5) - Reunion Registration
All included

Free Quantity



Total

$0.00
Please make your payment in the amount above to
- Zelle: BinionGilesMIChapter@gmail.com
- CashApp: $BinionGilesMI
Should be Empty:

Registration Form