------------------------------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:                                                       @ $55 PER PERSON.

NUMBER ATTENDING ALHAMBRA DINNER THEATRE:                                       @ $75 PER PERSON.

WEDNESDAY

Note:  Chose Kings Bay or Cummer Art Museum.

NUMBER ATTENDING KINGS BAY TOUR:                                                               @ $45 PER PERSON.

NUMBER ATTENDING CUMMER ART MUSEUM & GARDENS:                             @ $15 PER PERSON.

BANQUET DINNER CHOICES:                                                      CHICKEN MARSALA @ $60 PER PERSON.

                                                                                                                                 SALMON @ $60 PER PERSON.

                                                                                                                       FILET MIGNON @ $75 PER PERSON.

SPECIAL DIETARY NEEDS:  

HOSPITALITY ROOM STIPEND PER PERSON: ;                                                @ $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?

BEER BRAND LIQUOR/WINE TYPE MIXERS
SOFT DRINKS SNACKS

       

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