CROPPIN' ON THE COAST

Registration Form

 (9th Annual) CROPPIN' ON THE COAST - DISNEY!  PART 2

AUGUST 25, 26, 27, 2017

Ocean Springs, MS 

 

NAME _______________________________________________________ Birthday (mm/dd) _________________________

 

ADDRESS ______________________________________________city ____________________ST __________ zip __________ 

 

Email ______________________________________________    Cell Phone _________________________________________

 

I would like to sit with...(across from or next to): ___________________________________________________

 

Group Name:  _______________________________________________________________________________

 

The crop opens on Friday, August 25 at 9:00 a.m. and continues until Sunday, August 27 at 4:00 p.m.

 Expected time of arrival: ____________________________________________________________________________

 

The registration fee is $150.  

 

OPTIONAL:  T-shirts for this event are available for pre-order only for $20-22 (please circle size)

Small               Medium                      Large                  X-Large                  2X              3X              4X

 

If you want to order a T-shirt, please circle the size above and add $18 (larger sizes $20) to your registration total below.  

Please note:  shirts will not be available for sale at the event and must be pre-ordered.

 Deposit                 $25.00

                                                          Payment #1 January 1 (6 months)            $25.00

  Payment #2 February 28 (Mardi Gras)        $25.00

  Payment #3 April          $25.00

  FINAL PAYMENT: July 25 (one month prior)           $50.00   

                                                          T-Shirt (add $20 or $22)                                        _________

                                                                                             Total Enclosed                ____________

Due _________

 

 

PLEASE MAIL PAYMENT and REGISTRATION TO:

Janet Guillory      88154 Golf Club Dr.     Diamondhead, MS  39525

 

 

 Questions?  Email Janet Guillory at jdogg50dh@yahoo.com or

JOIN our Facebook group https://www.facebook.com/groups/118925461480070/