Shurn Family Reunion 2019

Shurn Family Reunion 2019 Atlanta Georgia

This Form Uses The Square Payment Gateway
First Name*
Last Name*
E-mail*

Confirmation EmailExample name@ email.com

Age 10-17 $50.00 Per Young Adult
Age 10-17 $50.00 Per Young Adult
Select Number You are Paying for or Blank if None
Total-Young-Adult
Calculated Amount
First Young Adult 13-17*
Full Name
Second Young Adult 13-17*
Full Name
Third Young Adult 13-17*
Full Name
Fourth Young Adult 13-17*
Full Name
_______________________________________________

Adult Tee Shirt Ordering Section

$10.00
The Atlanta team will be ordering the shirts immediately after August 1, 2019.
Please do not order shirts after August 1, 2019.
Adult Small
Adult Medium
Adult Large
Adult XL
Total-Adult-Shirts (S-1XL)
Calculated Amount
_______________________________________________

Adult Extra Large Shirt Ordering Section

2X $12.00 - 3X $13.00 - 4X $1400
The Atlanta team will be ordering the shirts immediately after August 1, 2019.
Please do not order shirts after August 1, 2019.
Adult 2XL
Adult 3XL
Adult 4XL
Total-Adult-Shirts-(2XL-4XL)
Calculated Amount
_______________________________________________

Children Tee Shirt Ordering Section

$8.00
The Atlanta team will be ordering the shirts immediately after August 1, 2019.
Please do not order shirts after August 1, 2019.
Y-XSmall
Y-Small
Y-Medium
Y-Large
Y-XLarge
Total-Child-Shirts
Calculated Amount
_______________________________________________

Other Cost Section
Scholarship Amount
Payment Method ?*
OnLine-Pay

Your payment will include a 2.9% processing fee, plus thirty cents. This is a bank fee and is not a fee from the family.

You may change your payment method, your card will be charged ${totalallitemsplusfees}
Check-Pay

If you are paying by check, select the date we can expect your check you will be emailed the details of where the check should be mailed.

Please pay ${totalallitems} by check , otherwise you may change your payment method.
Zelle-Pay

You have selected to pay with Zelle, after you submit your registration you please use your Zelle App and pay ${totalallitems} to shurn-family-reunion@shurn.com today. Your registration will be flagged as incomplete until payment is received.

If you want to change your payment method, change your payment method.
Cash App Pay

You have selected to pay with Cash App, after you submit your registration you please use your Cash App and pay $shurnfamily ${totalallitems} today. Your registration will be flagged as incomplete until payment is received.

If you want to change your payment method, change your payment method.
Payment Total
Calculated Amount All Items Total
Pay On-Line Total
Total Includes Processing Fees
Date We Can Expect Payment*

MonthDayYear