Coterie Form

COTERIE REGISTRATION FORM

Name of Participant_______________________________________

Relationship of Proposer____________________________________

Address__________________________________________________

City/State/Zip_____________________________________________

Phone:  Home___________________ Cell______________________ 

Office________________________Fax________________________

Email (required)___________________________________________

Descendant and Generation # of Participant_____________________

Check the Ages and Circle the Category of Choice:

Debutantes $550          Escort $500                             Ages 18 - 25

Lady In Waiting $450   Squire $400                             Ages 15 - 17

Damselle $350             Senior Page $300                     Ages 12 - 14

Flower Girl $250         Junior Pages $200                    Ages 8 - 11

FINAL DEADLINE: TBH

  Send this response form with payment to: LA Mayflower Society, c/o Mara Coiron, 1526 Arabella Street, New Orleans, LA 70115.  Participant’s cost includes one admission to Cotillion. 

Email: cotillion@louisianamayflowersociety.com.

Louisiana Mayflower Cotillion

Costume de Rigueur with Military, Hereditary and Patriotic Decoration

Please send copy and payment to above address.