REGISTRATION FORM
USS PROVIDENCE (CL-82/CLG-6/CG-6/SSN-719)
REUNION 2012
MAY 2 - 6
WASHINGTON, D.C.
(please print)

NAME________________________________________________   PHONE _____________________

ADDRESS___________________________________________________________________________     
                      
        _____________________________________________________________________________

SPOUSE/GUEST(s)  
NAME:______________________________________________________________

DATES ON PROVIDENCE/DIVISION/RANK__________________________________________________

EVENTS LISTING                                                          COST   # PERSONS            TOTAL
ALL PRICES BELOW ARE PER PERSON.

REGISTRATION FEE (per family)                                   $25                                           ___________            
    $25 includes hospitality, snacks, entertainment,
    admin and other convention expenses

THURSDAY, MAY 3
    Wreath laying at Tomb of Unknown Soldier     .           $51       ____________               ____________
    Bus tour of Arlington Cemetery, lunch at Military Women's
    Memorial, Memorial Service onboard USS BARRY (DDG-52)
    at the Washington Navy Yard

FRI, MAY 4                                                                   $60       _____________ ____________
   Bus tour of DC - Korea Memorial, Lincoln Memorial,
   Vietnam Memorial, WWII Memorial, White House,
   Washington Memorial, Jefferson Memorial
   Dinner - Phillip's Seafood Rest.,
   Evening Parade at Marine Barracks (Silent Drill Team
   and Presidential Band.

SATURDAY, MAY 5                                                      $37       _____________ ____________
    Lunch at Officer's Club, Fort Myer, Arlington
    Visit Iwo Jima Memorial, wreath laying ceremony.

SATURDAY, MAY 5                                                      $38       _____________        _____________
    Banquet, Choice of chicken picatta, steak, salmon
    salad, steamed vegetables, rolls, dessert        MEAL CHOICE   ___________________________       
    Cash bar
    Special meal request (vegetarian or other)      $35       _____________        _____________

TOTAL                                                                                      _____________        _____________

Emergency contact info (name/phone) _________________________________________________________

Are you staying at the Crowne Plaza?    (   )  yes           (   ) no
Do you wish to donate any memorabilia     Raffle (   )       Display case on USS LITTLE ROCK  (   )
MAKE CHECKS PAYABLE TO :    USS PROVIDENCE ASSOCIATION
MAIL TO           JIM CHRYST
               34 SNYDER HOLLOW RD
                        New Providence, Pa    17560      717-284-6996        cell 973-222-5499