USS IOWA REUNION 2012 REGISTRATION FORM:

This order form covers reunion registration, membership dues, planned meals and tours. Please complete this form and mail it along with your check/money order payable to: VETERANS ASSOCIATION OF THE USS IOWA, 2916 NW Bucklin Hill Rd #169 Silverdale, WA 98383. Registration form must be postmarked no later than_15 JUNE 2012. If registering later than this, registration will be at the reunion. Questions call 360-692-6032.
 

Name: _________________________________   Dates served on IOWA ____to_____ (43/45)
         
Address: _________________________________   Division ________
         
City/State/Zip:: _________________________________   Rate/Rank ________
         
Phone: _________________________________   Need Name Tag? YES  |  NO
         
Email: _________________________________  

Date

 ________
     

:

  
Other Attendees: _________________________________  

Check#:

 ________
         
  _________________________________      
         
  _________________________________      
REGISTRATION FEES    
  Number of Attendees: _______ X $10.00 $__________
  Paying 2012-2013 Dues _______ X $20.00 $__________
MONDAY    
  Port of LA Harbour Cruise _______ X $45.00 $__________
TUESDAY    
  Universal Studios Tour _______ X $130.00 $__________
  Hawaiian Luau Dinner Buffet Cruise _______ X $69.00 $__________
THURSDAY    
  Queen Mary Champagne Breakfast Tour _______ X $60.00 $__________
     
  DINNER DANCE:
Indicate Number of Each below for dinner		    
  Greek Chicken _______ X $45.00 $__________
  Grilled Tri-Tip _______ X $45.00 $__________
  Roasted Pacific Salmon _______ X $45.00 $__________
     
 

TOTAL AMOUNT ENCLOSED:

 $__________

NO REFUNDS AFTER 30 June 2012. UNLESS FOR MEDICAL EMERGENCY. PLEASE SEND LETTER
REQUESTING REFUND TO: VETERANS ASSOCIATION OF THE USS IOWA, 2916 NW BUCKLIN HILL RD #169, SILVERDALE, WA  98383. REGISTRATION FEE IS NON-REFUNDABLE.

EMERGENCY CONTACT: ___________________________ PH: ________________________

 

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