Name: , Rate/Rank: Aboard: 19 - 19 Division: CY 2023 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 = $335 (plus dues if applicable) One Shipmate plus one guest, taking everything = $670 (plus dues if applicable)
Arrival Date: 7/10 7/11 7/12 7/13 7/14 7/15 Departure Date: 7/14 7/15 7/16 7/17 7/18 7/19
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 30, 2023. Earlybird registration ends May 31, 2023 (free cup and room drawing)