| Name | Phone No. | |||||||
| Spouse/Guest(s) | Date of Service | |||||||
| Address(Please Print) | Division | |||||||
| Rank | ||||||||
| Events Listing: | ||||||||
| (All prices below are per person) | ||||||||
| Cost | # Persons | Total | ||||||
| Wednesday, October 6th: Registration Fee - This includes hospitality suite, snacks, entertainment, administraction cost and event expenses. | $35.00 | |||||||
| The Hotel will be sponsoring a reception between 5 - 6 PM in the hospitality suite | No Cost | |||||||
| Thursday, October 7th: Bus departs from hotel to Mt. Soledad for Memorial Services, return to hotel for Western Barbeque | $40.00 x | |||||||
| Friday, October 8th: Bus departs to USS Midway for tour and lunch. Lunch will consist of sandwich, chips, cookie and drink, please indicate type and number of sandwich below. | $36.00 x | |||||||
| Roast Beef sandwich # ____________Turkey sandwich # _____________ | ||||||||
| Saturday, October 9th: Hawaii Luau, Photo and fun (dress well be casual) | $45.00 x | |||||||
| Sunday, October 10th: Farewell breakfast (Create your own Omelette Delight) | $25.00 x | |||||||
| Total | ||||||||
| Emergency Contact Information | ||||||||
| Name, Phone #, other | ||||||||
| Are you planning on staying at the Holiday Inn, San Diego?.....yes.......no......(circle one) | ||||||||
| MAKE CHECK PAYABLE TO: "USS PROVIDENCE ASSOCIATION" | ||||||||
| MAIL TO: | DAVID ABDOUCH | |||||||
| 127 AMBERWOOD DR | ||||||||
| WALNUT, CALIFORNIA 91789 | ||||||||
PHONE CONTACT FOR DAVID ABDOUCH.......HOME: 909-594-9273.........CELL909-573-6227 |
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