Name | Phone No. | |||||||
Spouse/Guest(s) | Date of Service | |||||||
Address(Please Print) | Division | |||||||
Rank | ||||||||
Events Listing: | ||||||||
(All prices below are per person) | ||||||||
Cost | # Persons | Total | ||||||
Wednesday, October 6th: Registration Fee - This includes hospitality suite, snacks, entertainment, administraction cost and event expenses. | $35.00 | |||||||
The Hotel will be sponsoring a reception between 5 - 6 PM in the hospitality suite | No Cost | |||||||
Thursday, October 7th: Bus departs from hotel to Mt. Soledad for Memorial Services, return to hotel for Western Barbeque | $40.00 x | |||||||
Friday, October 8th: Bus departs to USS Midway for tour and lunch. Lunch will consist of sandwich, chips, cookie and drink, please indicate type and number of sandwich below. | $36.00 x | |||||||
Roast Beef sandwich # ____________Turkey sandwich # _____________ | ||||||||
Saturday, October 9th: Hawaii Luau, Photo and fun (dress well be casual) | $45.00 x | |||||||
Sunday, October 10th: Farewell breakfast (Create your own Omelette Delight) | $25.00 x | |||||||
Total | ||||||||
Emergency Contact Information | ||||||||
Name, Phone #, other | ||||||||
Are you planning on staying at the Holiday Inn, San Diego?.....yes.......no......(circle one) | ||||||||
MAKE CHECK PAYABLE TO: "USS PROVIDENCE ASSOCIATION" | ||||||||
MAIL TO: | DAVID ABDOUCH | |||||||
127 AMBERWOOD DR | ||||||||
WALNUT, CALIFORNIA 91789 | ||||||||
PHONE CONTACT FOR DAVID ABDOUCH.......HOME: 909-594-9273.........CELL909-573-6227 |