Name: , Rate/Rank: Aboard: 19 - 19 Division: CY 2021 Dues: Select One Annual New Life Existing Life Are you: Staying at reunion hotel? Active Duty? Over 80? Email: Home Telephone: Emergency Contact: Phone:
Example: One Shipmate, alone, taking everything = $374 (plus dues if applicable) One Shipmate plus one guest, taking everything = $748 (plus dues if applicable)
Arrival Date: 7/5 7/6 7/7 7/8 7/9 7/10 Departure Date: 7/10 7/11 7/12 7/13 7/14
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 PayPal on-line payment service. To avoid this charge use Zelle® or the mail-in form from the newsletter or website.
Notes: The final deadline for registering for this reunion is June 7, 2021. This year, all Shipmates that register by June 7th will receive a mug and be entered in the room drawing.