Reservation


2016 Whitley Collins Family Reunion

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.

CONTACT INFORMATION



PARENTS


GUESTS

First Name

Middle Name

Maiden & Last Name

Child

Date of Birth

Relationship


RESERVATION FEES & PAYMENT

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
Cash on delivery
Online Payment

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:

Ruth Spillers
P. O. Box 5230
Moss Point, MS 39563.
Phone: (228) 475-1936

Online:

Credit Card, Bank Card and E-Check. There is a small processing fee of 3.3% for online payments.

Payment Gateway

CALCULATE YOUR PAYMENT

Whitley Collins Family Reunion

No. of Persons

Cost Per Person

Amount ($)

Adult Reservation - Full Payment

$100.00

Adult Reservation - 50% Payment

$50.00

Children's Reservation Age 0 - 5

$00.00

Children's Reservation Age 6 - 12

$25.00

Children Reservation Age 13 - 18

$50.00


*PAYMENTS MADE BY CREDIT CARD OR E-CHECK:

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.

Total: $

Reservation is not complete until funds have actually been received (cleared bank).


Before completing the registration procedure you must agree to Collins-Kin.com Terms and Conditions
I have read and agree to the Collins-Kin.com Terms and Conditions
Please add my name to your mailing list
-
* Required
Thank you for your reservation!