Coker Family Reunion Registration Form

July 3-4, 2004

Holiday Inn Express/Great Neck Park

Norfolk/Virginia Beach, VA

 

Name

 

Address

 

City

 

State

 

Zip

 

Phone#

 

Email

 

 

Relation

 to :

Elbin Coker

Gene Coker

John B. Coker

Ruth Coker McPherson

Ben Coker

Robbie Allen

Pass Coker

Other

 

check one

 

 

 

 

 

 

 

 

Attendee's First Name

Age

T-Shirt

 size

T-Shirt cost

Saturday Picnic $

Sunday Brunch $

Individual

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 FAMILY

TOTAL

 

 

Saturday Picnic includes lunch/dinner/drinks/snacks

Adult (13+)

$30.00

 

Child 

$15.00

Buffet Breakfast at the Hotel on Sunday morning

All Ages

$14.00

T-Shirts - Adult S, M, L, XL

Adult sizes

$15.00

T-Shirts - Child S, M, L

Child sizes

$8.00

Please mail your check to:
Margaret A. Wanca-Daniels/Coker Family Reunion
12946 Brigstock Court

Bristow, VA 20136

Questions? Call Margie at 703-753-5031 or 703-408-2270