test form

Member Name(Required)

First Middle Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Email(Required)

Is this your first time at the Annual Meeting?(Required)

yes

Your meal choice

How many adults in your party?(Required)

Please include yourself and any guests, including children 14 and over

Adult Price

Price:

Discount for more than one in your party

Price: $0.00

$5 discount per ticket for adults in your party

How many children ages 7-13?

Child Price

Price:

Guest names (please list one per line)

Guest meal choice 1

Guest meal choice 2

Guest meal choice 3

Guest meal choice 4

Guest meal choice 5

Guest meal choice 6

Guest meal choice 7

Guest meal choice 8

Guest meal choice 9

Guest meal choice 10

Guest meal choice 11

Children 13 and under (please list one per line)

Also list children under 6, with their ages. Children under 6 are free.

Child meal choice 1

Child meal choice 2

Child meal choice 3

Child meal choice 4

Child meal choice 5

Child meal choice 6

Child meal choice 7

Child meal choice 8

Child meal choice 9

Child meal choice 10

Child meal choice 11

Child meal choice 12

membership renewal

I would like to renew membership now

Renewal(Required)

Annual ($25)

Family Annual ($35)

Lifetime ($500)

Additional Tax-deductible contribution

Total

Payment method(Required)

Credit Card

Mail A Check

Contact

Site Links

Ⓒ 2026 Avery Memorial Association