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REGISTRATION FORM |
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27th Annual 11th ACVVC Reunion Orlando, Florida Wednesday, 12 September thru Sunday, 16 September 2012
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PLEASE
MAKE YOUR OWN HOTEL RESERVATIONS AT
Rosen
Centre Hotel
Reservations:
800-204-7234
Registration fee is $90.00
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 29, 2012.
All registrations must be received no later than Friday, SEPTEMBER
7, 2012.
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
(please print)
__________________________________________________________ $____________
__________________________________________________________ $____________
__________________________________________________________ $____________
__________________________________________________________ $____________
Total Registration Fee $____________
Banquet Meal Selection
(Choose one selection per attendee) Chicken_______Beef_______Veggie_____
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
C/O OLLIE PICKRAL