REGISTRATION FORM
11th ACVVC Reunion XXV, Washington, DC
Wednesday, 25 August thru Sunday, 29 August, 2010
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REGISTRATION FORM |
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HOTEL RESERVATIONS MUST BE MADE BY JULY 28, 2010
PLEASE MAKE YOUR OWN HOTEL RESERVATIONS AT
Grand Hyatt Washington, 1000 H Street
NW
Washington, DC 20001
202-582-1234 or 800-233-1234
Registration fee is $89.00 per person. This fee is required for attendance at
any of the scheduled events including the Thursday and Friday night Bunker
Parties and the Saturday Banquet dinner.
Please
register early.
The registration fee will be an additional $25.00 per person for registrations
post marked after August 4, 2010.
PLEASE PRINT ALL INFORMATION
(print clearly or use mailing label)
Name_____________________________________________Telephone
No:______________________
Address______________________________________________________________________________City/State/Zip
________________________________________________________________________
E-Mail
Address_______________________________________________________________________
Unit
Assignment__________________________________ Years in Country
_____________________
(Example:
B TRP, D CO )
(Example: 1966-1967)
ATTENDEES
__________________________________________________________
$____________
__________________________________________________________
$____________
__________________________________________________________
$____________
__________________________________________________________
$____________
Total Registration Fee
$____________
Banquet Meal Selection
(Choose one selection per attendee) Chicken_______Beef_______Veggie_____
Special Dietary Needs?
q
Yes q
No (Please indicate needs) ________________________________
Is this your first reunion?
q
Yes q
No Wheelchair or special needs seating?
q
Yes q
No
KIA Relative?
q
Yes Name of KIA: ____________________________________________________
Relationship to KIA: ________________________ Unit:
_____________________________________
q
Visa q
MasterCard Card No.__________________________________ Exp. Date
____________
Signature (Required for credit card)
_______________________________________________________
Make checks payable to 11th ACVVC. Please mail
Registration Form along with payment to:
11th ACVVC TREASURER
C/O OLLIE PICKRAL
571 DITCHLEY RD
KILMARNOCK, VA 22482