Magnificent Moch
Family Reunion 2016
Grand Total
Number of Adults (12 and above): ___________ X $125.00 = ____________________
Number of Children (4-11): ___________ X $65.00 = ___________________
Optional T-Shirts for children 3 and under (or any extra T-Shirt) ________ X $10.00= $___________
Example: Registration fees for a family with two adults (2x$125=$250.00) and two children, 4 and 11 years old (2x$65=$130) grand total $380.00.
MAGNIFICENT MOCHS 8th BIENNIAL FAMILY REUNION
July 15-17, 2016
Past, Present, and Posterity
2016 Magnificent Moch Registration Form
DEADLINE TO REGISTER IS MARCH 15, 2016
NO CASH! Please make checks or money orders payable to Magnificent Moch Reunion.
Mail monies and registration form to:
Gisele Proby-Bryant
5635 South Lakeshore Drive
Shreveport, LA 71119-4005
Please provide the following information for your family members on the registration form.
For branch please write the name of one of the original 16 (e.g.: Etta, Rachel, Louis Henry, Murray, William, Ardis or Carrie) and your generation: 2, 3, 4, 5, 6, 7, etc.
Adult T-Shirt sizes: S, M, L, XL, XXL, and XXXL
Children sizes: S (6-8), M (10-12) and L (12-14)
Registration Fee: (12 and above)-$125.00 (4-11)-$65.00 (0-3) Free
T-Shirts: $10 for children 3 and under-optional
Each extra T-Shirt:$10.00
Names Registration Cost Branch/Generation T-Shirt Size Age State Total