27th Annual 11th ACVVC Reunion
Orlando, Florida
Wednesday, 12 September thru Sunday, 16 September 2012

PLEASE MAKE YOUR OWN HOTEL RESERVATIONS AT
Rosen Centre Hotel
9840 International Drive
Orlando, Florida 32819
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

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_____
Is this your first reunion? Yes____  No______ Wheelchair or special needs seating? Yes_____ No______
KIA Relative? _____ Yes Name of KIA: ____________________________________________________
Relationship to KIA: ________________________ Unit: _____________________________________
 Visa___ 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
571 DITCHLEY RD
KILMARNOCK, VA 22482