145th CAB (VN) REUNION 2009

REGISTRATION FORM
30 Sept 2009 to 4 Oct 2009


NAME        _______________________________________________________________________
ADDRESS    ______________________________________________________________________
CITY, STATE, ZIP _________________________________________________________________
HOME PHONE        ________________________EMAIL _________________________________
NUMBER ATTENDING REUNION  __________________________________________________
NAMES OF PERSONS ATTENDING WITH ME:_________________________________________
_________________________________________________________________________________
PLANNED ARRIVAL DATE        _______________________________________
TEMPORARY LODGING SITE    _______________________________________
HOW TRAVELING:   POV ________   AIR _________________________________
       OTHER (Explain) ___________________________________________________________
__________________________________________________________________________________

UNIT INFORMATION    UNIT __________________________  DATES ___________________
_________________________________________________________________________________

                                                         REGISTRATION FEE

    1.  REUNION PACKAGE @ $50.00                                        $50.00      .
    2.  SATURDAY BUFFET DINNER:
            (Includes three meats, vegetables, coffee or tea & dessert)
                    _______ PEOPLE @ $30.00 EACH                       = _________
    3. Dayton Bus Tour
                    _______ PEOPLE @ $15.00 EACH                        = _________

                     _______ BUS TOUR LUNCH @ $8.00 EACH     = __________

                                                                             TOTAL           = __________
Please send your pre-reunion cost by check or money order payable to: 145th CAB (Vietnam) Reunion along with your completed Registration Form by 30 Aug 2009 to:
                                                        Andrea M Smith
                                                        5648 Buenos Aires Blvd
                                                        Westerville, OH 43081

                                            Phone: days till 3 pm 614-890-5576
                                                        After 4 pm 614-728-1825
                                                        Email: andrea.smith@oit.ohio.gov

Need total count for buffet 3 days before     That would make it no later then 9/30/09