The Whitley Collins Family Reunion will be held on July 15 – 17, 2016, in Moss Point, Mississippi. This form is for event registration only, and does not include hotel accommodations. Click here for hotel information.
All reservations must be made in writing. Please complete all relevant information. Click here for off-line printable forms.
Maiden & Last Name
Date of Birth
To reserve your space for the family dinner you must pay at least 50% of the adult reservation fee. The balance remaining (50%) must be paid by April 1, 2016. No refunds will be given after May 1, 2016. Please contact Ruth Spillers regarding refunds at (228) 475-1936.
Money Order & Check:
Money orders or personal checks accepted. There is a $25.00 fee for all returned checks. Make all checks payable to the Whitley Collins Family Reunion. Mail to:
P. O. Box 5230
Moss Point, MS 39563.
Phone: (228) 475-1936
Credit Card, Bank Card and
E-Check. There is a small processing fee
of 3.3% for online payments.
Whitley Collins Family Reunion
No. of Persons
Cost Per Person
Adult Reservation - Full Payment
Adult Reservation - 50% Payment
Children's Reservation Age 0 - 5
Children's Reservation Age 6 - 12
Children Reservation Age 13 - 18
3.3 % Online Processing Fee has been added. Example: $50 Payment = $1.65 Fee; $100 Payment = $3.30 Fee, etc. Do not send additional online fee if paying by money order.
Reservation is not complete until funds have actually been received (cleared bank).
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