Ashley 2017 & Johnson ASHLEY & JOHNSON FAMILY REUNION FAMILY REUNION Baton Rouge, LA
June 30 – July 2
JUNE 2017 30Ashley-‐Johnson - JULY 2 Family F AMILY ajfamreunion@gmail.com ASHLEY &R eunion JOHNSON REUNION REGISTRATION FORM Baton Rouge, LA June 30 – July 2 Please type or print name.
2017 Ashley-‐Johnson Family Reunion ajfamreunion@gmail.com
Name
REGISTRATION FORM
Address
Please type or print name.
Name City
State
Zip
State Phone-‐Other
Zip
Address Email Address City Phone-‐Cell Email Address Phone-‐Cell First Name 1. 2.
First Name
Names of additional persons attending from the same address Phone-‐Other (submit another form for different address)
HOTEL COST: Rooms $109 per night + tax • DIRECT BOOKING LINK: https://www.wyndhamhotels.com/groups/AJ-Family-Reunion Last Name
Names of additional persons attending from the same address (submit another form for different address) Last Name
1. 3. 2. 4. 3. 5. 4. 6. 5. 7. 6. 8. 7.
Fees:
8.
Fees:
Quantity
Reunion Fee -‐ up to 4 family members Processing Fee-‐Electronic Payment (must provide email address & non-‐refundable) Each additional family member T-‐Shirts Information Coming Soon! (must Processing Fee-‐Electronic Payment
provide email address & non-‐refundable) Total Fees
Total
$100.00
Reunion Fee -‐ up to 4 family members Each additional family member
Unit Cost
Quantity
Unit Cost $25.00
Total
$100.00 $5.00 $25.00
$ 0.00 $ 0.00
$5.00
$ 0.00
T-‐Shirts Information Coming Soon! Refund Schedule: We understand that your plans may change for various reasons. However, we are making $ 0.00 are as follows: Total Fwith ees the funds that you have committed to pay. The refunds plans 100%Schedule: Refund of January If yvarious ou need to make However, changes we to yare our making fees, pplans lease with the Refund Werequested understandfees thatbyyour plans 31, may2017 change for reasons. Refund Schedule: We understand t hat your plans may change for various reasons. However, we a re m aking 75% Refund of requested fees b y F ebruary 28, 2017 submit the request in w riting via email to: funds that you have committed to pay. The refunds are as follows: plans with t he funds that you h ave committed t o p ay. The r efunds a re a s f ollows: 50% Refund of requested fees by March 31, 2017 ajfamreunion@gmail.com OR mail to: Donna Ashley, 100% Refund of requested fees by January 31, 2017 If you need make tocyour fees, please the request 100% Refund of requested fees by January 31, 2017 If yto ou need changes to Avenue, make hanges fsubmit ees, please 901 Eastland Ruston,to LAyour 71270. in writing via email to: ajfamreunion@gmail.com OR mail to: 75%75% Refund of requested fees by February 28, 2017 Refund of requested fees by February 28, 2017 submit the request in writing via email to: Donna Ashley, 901 Eastland Avenue, Ruston, LAchedule 71270. provided, 50% Refund of requested fees March 31, 2017 My50% signature indicates thatby I agree: pay the indicated above; to adhere to theOR refund Refund of requested fees byto March 31,fees 2017 ajfamreunion@gmail.com mailsto: Donna Ashley, Myif signature indicates thata IGagree: payatthe indicated above; adhere to the refund schedule provided, if needed; needed; and to have REAT tto ime thefees 2017 reunion. 901 to Eastland Avenue, Ruston, LA 71270. and to have a GREAT time at the 2017 reunion. My signature indicates that I agree: to pay the fees indicated above; to adhere to the refund schedule provided, if needed; and to have a GREAT time at the 2017 reunion. Signature Date REMITFORMS FORMS & & MAKE PAYABLE TO: TO: REMIT MAKE PAYMENTS PAYMENTS PAYABLE Ashley-Johnson Family Reunion ajfamreunion@gmail.com ASHLEY-‐JOHNSON FAMILY REUNION ASHLEY-JOHNSON FAMILY REUNION Signature Date ATTENTION:ATTENTION: Shirley Ashley - Shirley P.O. Box Ashley 3943 - Jackson, MS 39207 or email to: ajfamreunion@gmail.com -‐ P.O. Box 3943 -‐ Jackson, MS 39207 REMIT FORMS & MAKE PAYMENTS PAYABLE TO: