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    The 21st Biennial Jackson~Dailey Family Reunion will be held in Fort Lauderdale, Florida in 2018. Attendees are asked to provide their name, family branch connection, contact information, and whether they will attend. Space is included to list attending family members and their ages/t-shirt sizes. Payment information is also listed, with costs varying based on age and t-shirt size. Payments should be submitted to William T. Jackson.

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    The 21st Biennial Jackson~Dailey Family Reunion will be held in Fort Lauderdale, Florida in 2018. Attendees are asked to provide their name, family branch connection, contact information, and whether they will attend. Space is included to list attending family members and their ages/t-shirt sizes. Payment information is also listed, with costs varying based on age and t-shirt size. Payments should be submitted to William T. Jackson.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    252 views1 page

    Registration Form

    Uploaded by

    api-393771317
    The 21st Biennial Jackson~Dailey Family Reunion will be held in Fort Lauderdale, Florida in 2018. Attendees are asked to provide their name, family branch connection, contact information, and whether they will attend. Space is included to list attending family members and their ages/t-shirt sizes. Payment information is also listed, with costs varying based on age and t-shirt size. Payments should be submitted to William T. Jackson.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    The 21st Biennial

    Jackson~Dailey Family Reunion 2018


    Fort Lauderdale, Florida

    Family Member Name: _________________________________________________________________

    Family Branch Connection: ______________________________________________________________

    Address: _____________________________________________________________________________

    Phone Number: _______________________________________________________________________

    E-mail Address: _______________________________________________________________________

    ___________ I will attend ___________ I will not attend

    Names of Attending Family Members & Friends


    Adults: (Ages 18 & Older) Youth: (Ages 17 & Under) Age T-Shirt Sizes
    (If Applicable)

    ***If additional space is needed for names, please feel free to include an additional sheet of paper with names.

    Number of Adults (18+) ___________ x $100.00 = ___________


    Number of Youth (13-17) ___________ x $80.00 = ___________
    Number of Youth (4-12) ___________ x $50 = ___________
    Number of Youth (0-3) ___________ x $0 = ___________
    Number of T-Shirts (S, M, L) ___________ x $10 = ___________
    Number of T-Shirts (XL to 3XL) ___________ x $12 = ___________

    Total: _____________________

    Submit All Payments to: William T. Jackson


    Jackson~Dailey Family Reunion 2018
    P.O. Box 1282
    Fort Lauderdale, Florida 33302

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