Name:
________________________________________________________________________
Address:
________________________________________________________________________
City: ________________________________ State: _____________ ZIP: ____________
Phone:
________________________________________________________________________
FAX and/or E- Mail:
________________________________________________________________________
Number attending reunion: _________________
Arrival date: ________________ Departure date: ________________
List number attending Saturday night Fish Fry at $6.00 each (children under 6 free): ____
T-SHIRTS (Blue only). One shirt free for each paid registrant, extra T-shirts cost $15.00 each.
List Number and Size of T-shirt(s):
________________________________________________________________________
GOLF SHIRTS:
Golf Shirt Colors are Blue, Black, Red, and Green. Cost is $18.00 each.
List color, quantity, and size: ____________________________________
List color, quantity, and size: ____________________________________
List color, quantity, and size: ____________________________________
List color, quantity, and size: ____________________________________
Names of persons attending with you:
________________________________________________________________________
Names of persons to go on Ft. Rucker Museum bus tour:
________________________________________________________________________
Names of persons to go on fishing trip (cost not yet determined):
________________________________________________________________________
COSTS:
$ __________ Registration fee (number attending X $35.00).
$ __________ Saturday night Fish Fry (number attending X $6.00. Children under 6 free).
$ __________ Extra T-shirts at $15 per shirt.
$ __________ Golf shirts at $18 per shirt.
$ __________ Shipping charge of $3/shirt ONLY for those to be mailed.
$ __________ Dues at $20.00 per year.
$ __________ Donations.
$ __________ TOTAL AMOUNT ENCLOSED (Make checks to "174 AHC Reunion")
For room reservations, call the hotel free at (877) 243-9444 RIGHT AWAY.
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