------------------------------Complete form, print and mail to:------------------------------
Eric H Ericson III------926 Savanas Pt Dr, APT A------Ft. 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 USMC MUSEUM/MT VERNON TOUR: 012345 678 @ $75 PER PERSON: $
NUMBER ATTENDING NAVY YARD/ARLINGTON TOUR: 012345 678 @ $55 PER PERSON: $
HOSPITALITY ROOM STIPEND: 012345 678 @ $30 PER ADULT: $
NUMBER ATTENDING BANQUET : 012345 678 @ $68 PER PERSON: $ :
DINNER CHOICES: SLICED TOP ROUND OF BEEF 012345 678 GRILLED SALMON 012345 678 CHICKEN MILANESE 012345 678 PENE PASTA W/ GRILLED CHICKEN 012345 678
SPECIAL DIETARY NEEDS:
FAVORITE BEVERAGES/SNACKS:
MAKE CHECK PAYABLE TO: ERIC H ERICSON GRANDTOTAL: $
MUST BE IN BY AUGUST 10TH
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