Name: , Rate/Rank: Aboard: 19 - 19 Division: CY 2017 Dues: Select One Annual New Life Existing Life Waived Are you: Staying at reunion hotel? Active Duty? Over 80? Email: Home Telephone: Emergency Contact: Phone:
Mariner Museum ($21 adults & $18 for children) - (Lunch on your own) Buses depart hotel 09:30
Banquet Program: ($33 pp) Reception @ 17:00, Dinner @ 18:00
Example: One Shipmate, alone, taking everything = $278 (plus dues if applicable) One Shipmate plus one guest, taking everything = $556 (plus dues if applicable)
Arrival Date: 7/17 7/18 7/19 7/20 7/21 7/22 Departure Date: 7/21 7/22 7/23 7/24 7/25 7/26
Does anyone in your group have any disability or special dietary needs that require attention? Detail your needs:
NOTICE: There is a service fee of approx 3% for using the on-line payment service. To avoid this charge use the mail-in form from the newsletter or website.
Notes: The final deadline for registering for this reunion is June 1st Earlybird registration ends April 1st (free cup and room drawing)