------------------------------Complete form, print and mail to:------------------------------
Len Sciuto -- 1408 Course View Drive -- Fleming Island, FL -- 32003
YES!, I/we plan to attend the reunion! YEARS ON BANG: TO RANK/RATE:
FIRST NAME: LAST NAME: # YEARS IN USN:
ADDRESS: PHONE: ()
CITY: ST: ZIP: E-MAIL:
SPOUSE'S/GUEST'S NAME(S):
ARRIVAL DATE: DEPARTURE DATE:
TUESDAY
NUMBER ATTENDING ST AUGUSTINE TOUR: 012345 678 @ $55 PER PERSON $
NUMBER ATTENDING ALHAMBRA DINNER THEATRE: 012345 678 @ $75 PER PERSON $
WEDNESDAY
Note: Chose Kings Bay or Cummer Art Museum.
NUMBER ATTENDING KINGS BAY TOUR: 012345 678 @ $45 PER PERSON $
NUMBER ATTENDING CUMMER ART MUSEUM & GARDENS: 012345 678 @ $15 PER PERSON $
BANQUET DINNER CHOICES: CHICKEN MARSALA 012345 678@ $60 PER PERSON $
  SALMON 012345 678@ $60 PER PERSON $
FILET MIGNON 012345 678@ $75 PER PERSON $
SPECIAL DIETARY NEEDS:
HOSPITALITY ROOM STIPEND PER PERSON: 21345 678 @ $35 PER PERSON $
MAKE CHECK PAYABLE TO: Len Sciuto TOTAL: $
MUST BE IN BY SEPTEMBER 1ST
GENERAL QUESTIONNAIRE - WHAT WOULD YOU LIKE TO SEE IN THE HOSPITALITY ROOM?
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