REGISTRATION FORM 2016 Paulk-Tomberlin Family Reunion July 8-10, 2016 Baxley, Georgia
Primary Contact:_____________________________________________Tribe Name (if applicable):___________________ Name_______________________________________________________Email Address ______________________ Address_________________________________________________________City_________________ State______ Phone Number ______ ______ ______
Cell ______ ______ ______
Other ____ ____ ____
Fees will cover Friday-fish fry, Saturday- Family Outing/banquet, Sunday-refreshments
Reunion Rates are as follows: Age (18-Adult) $50.00 * Age (13-17) $35.00 * Name of Attendee
Age (6-12) $25.00 * Age (5-11) $15.00 * Age 4 & Under Free Age 18-Adult
Age 13-17
Attending one day $35.00 Age 6-12
Age 5-11 yrs
Attending 1 day activity
TOTAL NUMBER ATTENDING_________________TOTAL AMOUNT DUE$_____________________ Please return completed registration form along with payment to: Georgia Carter 336 Ellis Road, Baxley, Ga. 31513 (Please make money order or cashier’s check payable to Georgia Carter) ***NOTE: ALL FEES ARE NON-REFUNDABLE*** If you have any questions, please call Georgia Carter at 912-220-2574 (cell) or 912-367-7768 (home), Email: Lizzie Paulk at 912-367-6464 (home) or 912-278-2630 (cell), Email:
[email protected]
*****Registration Deadline: June 25, 2016*****
[email protected]
