NAME: ______ _______ ____ __ ____ _______ _______ ____ __ ____ _______ _______ ______ _____ __ ____ _______ ______ _____ __ _ ADDRESS:___ _______ ____ __ ____ _______ _______ ____ __ ____ _______ _______ ______ _____ __ ____ _______ ______ _____ __ _ _ ____ _______ _______ ____ __ ____ _______ _______ ____ __ ____ _______ _______ ______ _____ __ ____ _______ ______ _____ __ _ PHONE: _____ _______ ____ __ ___MO BILE: ______ ____ __ ____ _______ _EMAIL: ____ _____ __ ____ _______ ______ _____ __ _ NAME(S) OF YOUR G UESTS: __ _______ _______ ____ __ ____ _______ _______ ______ _____ __ ____ _______ ______ _____ __ _ BANQUET MEAL SELECTI ONS: BEEF _ _______ ____ __ ____ ___ CHICKEN _ ______ _____ __ ___ VEGETARIAN_ _____ __ _ PLEASE LIST ANY SPECIAL NEEDS/ REQUESTS: __ __ ____ _______ _______ ______ _____ __ ____ _______ ______ _____ __ _ IN CASE O F EMERGENCY, NOTIF Y: __ _______ ____ __ ____ _______ _______ ______ _____ __ ____ _______ ______ _____ __ _ DATE
ACTIVITY
# PERSO NS
CH ARGE
I TEM TOTAL
REG ISTRATION FEE (Required for each Attendee)
X
$30.00
=
Wed 6/23 /1 0
Early Bird Lun cheon
X
$17.00
=
Wed 6/23 /1 0
Reception Dinner @ SUBVE TS
X
$20.00
=
Thu 6/24/ 10
“Botto m Gun” Pisto l Shoo t
X
$25.00
=
Thu 6/24/ 10
TOURS OF SSN 6 90 *
Thu 6/24/ 10
Banquet Din ner
Fri 6/25 /10
DECOMMISSIO NING *
No Charge
Fri 6/25 /10
NAVY RECEPTION *
No Charge
Fri 6/25 /10
Casin o Night – Vi sit one o f th e area’s larges t att ract ions w it h sh ipmat es.
Sat 6/26/10
Go lf Tournam ent (9 Holes) *
X
$25.00
=
Sat 6/26/10
Pi cnic wit h Curren t Phill y Crew *
X
$15.00
=
Sat 6/26/10
Clos ing Buffet Dinner
X
$45.00
=
Sun 6/27 /10
Farewel l Breakfas t
X
$17.00
=
No Charge X
$65.00
=
No Charg e
USS Phil adelph ia Sailor’s Ass ociati on Dues (Op tio nal): ? $1 5 ? $20 ? $2 5 ? Proj ect Donati on $____ PAYM ENT IS DUE NO LATER TH AN M AY 23, 201 0
TO TAL ENCLOSED
* PER NAVY REQUIRE MENTS & SUBJ ECT TO CHANGE. ADDITIONAL INFORMATION IS REQUIRE D. For G olf, P ic nic, Tour s, De commissi oning, and Rece pti on: Submit Fu ll Na me, Citize nship, and Date of Bir th for EA CH person be low.
PLEASE SEND PAYM ENTS TO THE FOLLOWING ADDRESS AND MADE PAYABLE TO:
F or A ttendees to events on SubBase Incl ude: FULL NAME
Citizenshi p
Birth Date
The Reunion BRAT 50721 State Hwy 410 E Greenwater, WA 98022 Phone: (36 0)663-252 1 Confirmatio n of Registratio n an d Itinerary wil l be sen t out by June 5, 2 010 . $20 per per son cancellat io n fee wi ll apply to all cancell at ions received wit hin 3 0 days of the event. Cancel lation s received wi thin 10 days of t he event will be n on- refund ab le. Ca ll the Ramada Mystic Hotel a t 8 60-536-4281 no later than May 2 0, 2 010 to make your hotel reservations at group pri cing. H otel poli cy is tha t cancella tio ns a fter May 2 0 wil l be charged full cost of reservation. Be sure t o m ention you are with th e USS Phi ladelp hia Reunion t o receive your group rate of $69/n ight for June 23/24, $10 9/ night fo r Ju ne 2 5/26, p lus t ax. The $69/ ni ght pri ce is av ailable 3 days pri or to and 3 days after the ev ent should y ou choose to ext end you r st ay.