Please enter how
many people will be attending our reunion and participating in our evening
entertainment.
Your cancelled
check or money order receipt will serve as your confirmation. All reservation forms and
payments must be received by mail on or before July 24,
2008. We suggest you make a copy of this
form
before mailing.
Please remember to make your hotel reservation directly with the
Marriott Norfolk Waterside.
PLEASE PRINT
NAME_________________________________________________________NAME TAG
NAME____________________________
YEARS ON BOARD 19____- 19____DIVISION___________ RATE___________
SPOUSE NAME____________________________________NAME TAG NAME_______________________________________
GUEST
NAMES_______________________________________________________ADULT___ CHILD___
AGE OF CHILD____
GUEST
NAMES_______________________________________________________ADULT___ CHILD___
AGE OF CHILD____
GUEST
NAMES_______________________________________________________ADULT___ CHILD___
AGE OF CHILD____
GUEST
NAMES_______________________________________________________ADULT___ CHILD___
AGE OF CHILD____
STREET ADDRESS___________________________________________________________________________________
CITY / STATE /
ZIP___________________________________________________________________________________
TELEHONE #____________________________________ EMAIL
ADDRESS____________________________________
ARE YOU CONFINED TO A WHEELCHAIR_______
WALKER_________ CANE_______ OTHER_________________
EMERGENCY
CONTACT_____________________________________________ TELEPHONE#
____________________
ARRIVAL DATE _______________ DEPARTURE DATE_________________ DRIVING_____
FLYING_____
Please
contact LaDonna Bradshaw if you have any questions:
Email:
bb64members@aol.com (preferred method)
Home
Phone: (601)693-6096


SIDE 1 (PLEASE
COMPLETE SIDE 2)
Fee is $20.00 per person.
REGISTRATION AND BANQUET MEALS
|
|
Price Per |
# of |
|
|
REGISTRATION
FEE PER ADULT (under 16 Free) Includes Administrative costs NON-REFUNDABLE |
$15.00 X |
|
|
|
MEALS |
|
|
|
|
Saturday Banquet (Please select your entrée) See menu page for choices |
|
|
|
|
Beef Selection |
$35.00 X |
|
$ |
|
Chicken Selection |
$30.00 X |
|
$ |
|
Fish Selection |
$35.00 X |
|
$ |
|
Child’s Meal
(6-12) (5 and under Free) Chicken
Tenders w/ French Fries |
$15.00 X |
|
$ |
|
If you have any dietary restrictions,
please make a note here:_____________________________ |
|
Price Per Person |
# of Persons |
Total |
Colonial
|
$60.00
X
|
FULL |
$ |
|
|
|
|
|
|
Welcome
to |
$35.00
X |
|
$ |
|
Spirit
of |
$63.00
X |
|
$ |
|
|
|
|
|
|
Children
ages 3 to 12 |
$55.00
X $40.00
X |
|
$ $ |
|
|
|
|
|
BB 64 Golf Classic Handicap _______
|
$40.00
X |
|
$ |
A Taste of
|
$60.00
X |
SOLD |
OUT |
|
|
|
|
|
|
Marine Detachment Luncheon |
$16.00
X |
|
$ |
|
|
Price
Per Item |
#
of Items |
Total |
|
Child’s
T-Shirt in Blue XS ____ S _____ M _____ L _____ |
$10.00
X |
|
$ |
|
Child’s
T-Shirt in Gray XS ____ S _____ M _____ L _____ |
$10.00
X |
|
$ |
|
Child’s
T-Shirt in Red XS ____ S _____ M _____ L _____ |
$10.00
X |
|
$ |
|
Adult’s
T-Shirt in Blue S ___ M ___
L ___ X L ___ XXL ___
XXXL ___ |
$10.00
X |
|
$ |
|
Adult’s
T-Shirt in Gray S ___ M ___
L ___ X L ___ XXL ___
XXXL ___ |
$10.00
X |
|
$ |
|
Adult’s
T-Shirt in Red S ___ M ___
L ___ X L ___ XXL ___
XXXL ___ |
$10.00
X |
|
$ |
TOTAL DUE ------>
|
$ |
||
|
MAKE YOUR CHECK PAYABLE TO: USS
WISCONSIN ASSOCIATION |
|||
|
MAIL YOUR CHECK & THIS
FORM TO: P.O.
|
|||
SIDE 2 (PLEASE COMPLETE SIDE 1)