------------------------------Complete form, print and mail to:------------------------------
Eric Ericson, III------926 Savanas Pt. Drive, Apt A------Fort Pierce, FL------34982-5163
YES! I/we plan to attend the reunion! RANK/RATE:
FIRST NAME: LAST NAME: YEARS ON BANG: TO
ADDRESS: PHONE: ()
CITY: ST: ZIP: E-MAIL:
SPOUSE'S/GUEST'S NAME(S):
ARRIVAL DATE: DEPARTURE DATE:
NUMBER ATTENDNG MARINE CORPS AND MOUNT VERNON TOUR: 012345 678 @ $73 PER PERSON. TOTAL COST
NUMBER ATTENDING NAVY YARD AND US CAPITOL TOUR: 012345 678 @ $55 PER PERSON. TOTAL COST
NUMBER ATTENDING BANQUET : 012345 678 @ $65 PER PERSON. TOTAL COST
DINNER CHOICES:SLICED TOP ROUND OF BEEF 012345 678 GRILLED SALMON 012345 678 CHICKEN MARSALA 012345 678
SPECIAL DIETARY NEEDS:
HOSPITALITY ROOM STIPEND PER ADULT: 21345 678 @ $30 PER ADULT.
MAKE CHECK PAYABLE TO: Eric Ericson, III TOTAL: $
MUST BE IN BY JULY 30th
GENERAL QUESTIONNAIRE - WHAT WOULD YOU LIKE TO SEE IN THE HOSPITALITY ROOM?:
Note: print this form in "landscape" layout rather than "portrait".
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