174th Assault
Helicopter Company


DOLPHINS & SHARKS
Vietnam & Laos, 1966-1971

REUNION
REGISTRATION FORM

174th AHC Association Reunion
October 6-7-8, 2000
Ft. Walton Beach, Florida

Name _____________________________________________________

Address __________________________________________________

City _____________________________State ____ ZIP_______________

Phone (and FAX) _____________________________________________________

E-Mail _____________________________________________________

COSTS:

___________ Registration fee, $35 x number (______) attending

___________ Saturday night buffet, $17 x number (______) attending

___________ Additional baseball caps (blue only), $11 x number (______) of hats

___________ Floppy caps, $11 x number (______) of hats

___________ Dues at $20 per year (pays thru 2001)

___________ Donations (please list amount)

___________ GRAND TOTAL DUE (Please remit by check with your registration)

Golf shirts can be purchased by special order. If you wish to order golf shirts, list number, sizes, and colors (blue, red, green, or black). Price will be about $16 each. At least 24 orders are needed to make the shirts. You will be notified if your order can be placed, and the cost. Make no payment now for these shirts.

Number: _______ Size(s) & Color(s): _____________________________________________

Names and relationship of persons attending with you:

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

Names of persons to go on the following (all events are pay as you go):

Fishing: _______________________________________________

Dolphin Cruise: _________________________________________

Boat Ride: ______________________________________________

Navy Museum: __________________________________________

For room reservations, contact the Best Western Beach Front Hotel at:
Reservations: 1-877-243-9444
FAX: (350) 243-5445
E-Mail: bw-beach@nuc.net



PLEASE RETURN BY SEPTEMBER 15, 2000 to:

174th AHC Association
Bernie Cobb, Secretary/Treasurer
16098 Highway 167
New Brockton, AL, 36351



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Reunion Information
Election Form
174th Front Page