Please Print and Return to: 
Chestnut Ridge Cousins
c/o Polly Dodson
206 East Franklin Street,
Shelbyville, TN, 37160

Deadline is September 30th!
But make your room resevations today!

Calling All Cousins! 
6th Annual Chestnut Ridge Cousins’ Reunion
  Henry Horton State Park,  Chapel Hill, TN

October 24-25, 2008
Name____________________________________________

Address__________________________________________

City_______________________________State_________

Zip____________Telephone_________________________

E-mail:___________________________________________

 
Click back later to view>>>>Current Schedule of Events and Special Event Information<<<<<<<

Please return registration form with the appropriate fees.   Make checks payable to: Chestnut Ridge Cousins

Reunion Registration Fee (includes 2008-2009 membership dues)
                                                                      Pay only 1 registration per household please! 
$30.00 $________
Reunion Registration Fee (I have already paid my 2008-2009 membership dues.)
                                                                                             Pay only 1 registration per household please! 

$15.00 $________
Please reserve a table for the ______________surname.  I will be sharing family photos, memorabilia, or  genealogy. 
No 
Fee

 Total Fees Enclosed  (All buffet meals will be paid for by individual guests.  Please consult the schedule of events above for meal pricing.)
$________

Hotel Accommodations are available at the Henry Horton State Park Inn.  Reserve your room ASAP by calling 1-800-250-8612Visit  their website 
Rooms  are available  for $70 for a standard double and $75 with a microwave and fridge.  Senior discount is 10%.   Please be aware that one night's stay will be posted to your credit card at the time of your reservations!   They are on a first come-first served basis.  A limited number of rooms are available!       Please make your reservation today!  There are only 20 rooms available in the entire hotel.  Each person is responsible for contacting the hotel and making their own arrangements!  The hotel is NOT included in the registration fees.