*** This registration form (one for each attendee) and all registration fees must be paid in full for each person attending the Reunion by May 12, 2019 ***
Family Name: ___________________________________________________ Address: _______________________________________________________ City / State & Zip: ________________________________________________ Phone #: ___________________ E-mail: ____________________________ 2019 Non- Refundable Anthony-Ellison Family Reunion Fees by Ages Ages 0-2: Free #: ____ (must pay for T-shirt only) if needed Ages 3-4 years: $20.00 each #: ______ Amount: $______________ Ages 5-10 years: $40.00 each #:_______ Amount: $______________ Ages 11-12: $ 60.00 each #: ______ Amount: $______________ Children: 13+and Adults: $99.00 each #: ________ Amount: $_____________ T-Shirt(s) $15.00 Adults & Youth, $12.00 Child #:_________ Amount: $____________ Total Number in party:______ Total Amount: $ ____________ Option 1: Click here to Pay by PayPal (PayPal ME) https://www.paypal.me/FamilyReunionFees
Option 2: To Pay by Cashier Check or Money Order via Mail Send this Form and your Payment To: Jimmie Williams P.O. Box 951566 Lake Mary, FL 32795-1566 Please be sure to make your Cashier Check or Money Order out to "Jimmie Williams" (not Anthony-Ellison Family Reunion) Click to Print Form: /clients/f/ff/ff850d76676c1858bf5e443b7a907d3b/File/2019%20Reunion%20Registration%20Form(1).pdf |