2018 Mike Family Reunion Registration Form
Registration fees cover the costs of room rental, food, t-shirts, activities, and mementos
Email address *
Registration Fees (Due by June 1, 2018)
$100.00 per adult - Note: any funds left over after expenses will carry over into the 2019 Mike Family Reunion
First and Last Name *
Your answer
Address 1 *
Your answer
Address 2
Your answer
City, State Zip Code *
Your answer
Mobile Phone *
Your answer
Name, age and T-shirt qty of each person attending *
Provide first, middle, last and goes by (i.e. Byron Che Mike "Che") Age 48; T-Shirt - 1
Your answer
T-Shirt sizes *
Provide quantities above
Required
Payment Options *
Select payment method and Rosa (rosamays10@gmail.com) will invoice you via email
Checks can be written and mailed to Regina Mike memo - Mike Family Reunion
88 Town and Country Drive, Fredericksburg, VA 22405. If you have questions, email: rfrench1234@gmail.com
Your answer
Hotel Accommodations
If you would like to stay at the Fairfield Inn in Victoria, TX, a block of rooms (5 kings and 10 doubles) have been reserved under Mike Family Reunion July 19 - 24. Room rate: $74.00
Your answer
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