July 4 - 7, 2019
Burlington Double Tree
870 Williston Rd
South Burlington, VT 05403

Name: , Rate/Rank:            
Aboard: 19
- 19  Division:        CY 2019 Dues:
Are you: Staying at reunion hotel? Active Duty? Over 80?
Email:
   Home Telephone:
Emergency Contact
: Phone:

Other Guests
If you are bringing anyone under 18, you will need to register by mail this year
1. First:   Last:
2. First:   Last:  
3. First:   Last:  
4. First:   Last:
5. First:   Last:
 

$25 registration fee added for each registrant

Shipmate
Guest 1
Guest 2
Guest 3
Guest 4
Guest 5
Select All Activities
Thursday (7/4) Fun Night at Hotel ($40 pp)
Friday (7/5) Group Breakfast @ 7:30 ($17 pp)
  Lake Champlain Maritime and Shelburne Museums ($64 pp) - Buses depart hotel 08:30 (Lunch Included)
  Group Supper @ 18:00 ($35 pp)
Saturday (7/6) Group Breakfast @ 08:00 ($17 pp)
 

Church St.& Cider Mill Tour ($18 pp)
- Buses depart hotel 09:30 (Lunch on your own)

 

Banquet Program:  ($45 pp) Reception @ 17:00, Dinner @ 18:00

Sunday (7/7) Group Breakfast @ 07:00 ($17 pp)
  Ethan Allen III Cruise & Memorial ($72 pp)
- Buses depart hotel @ 08:00 & return at 15:00

Example: One Shipmate, alone, taking everything                = $350 (plus dues if applicable)
               One Shipmate plus one guest, taking everything   = $700 (plus dues if applicable)

Arrival Date: Departure Date:

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)