2015
Meeting,
Middlebrooks
Family Association, Inc.
October
1, 2, and 3,
Help with
meeting planning by completing and returning this registration form; please also consider including your 2016 dues
at this time.
To make your Quality Inn reservation, call 601-636-0804 and mention the
Middlebrooks Family Association. Room rates will be good until 9 September. See
MFA Web site
event announcement for room arrangements and their rates.
Name (please print all information)
____________________________________
Address
__________________________________________State __________
Phone
__________________ E-mail __________________________________
For Name
Tags: Circle your
ancestor:
Joseph 1610, Isaac 1753, John 1754,
John 1755, Micajah 1757, Sims
1762, Thomas 1763, Nathaniel 1764, Robert 1766,
Joseph 1773, Unknown, Other ________
First
name of each in your party
___________________________________________________
Circle days
attending:
Thursday Friday
Saturday
Thursday
lunch at motel (sandwiches,
etc.) # of people for lunch ________
Thursday
dinner (Toney's
Steak and Sea Food) # of people for dinner ________
Friday lunch (Walnut Hill
Resturant)
# of people for lunch ________
Friday dinner
(Rowdy's
Steak and Sea Food) #
of people for dinner ________
Saturday
lunch at motel (sandwiches,
etc.)
# of people for lunch ________
Saturday
dinner (Amerstar
Casino Buffet)
# of people for dinner ________
PLEASE NOTE: Each person is to pay for their own meals
Registration
fee: $20 for paid member,
including their family members
$25 for non
paid member, including their family members
Annual
MDA dues $20 for 2016 membership and
pay the $20 registration
Make
check payable to: Middlebrooks Family
Association, Inc. Enclosed $ ______
Please
mail registration form and check to: Middlebrooks
Family Association, Inc.
C/O
Kathleen Hunter