NAME:__________________________________________________
SPOUSE/GUEST NAME: ___________________________________
ADDRESS: ______________________________________________
________________________________________________________
E-MAIL ADDRESS: ________________________________________
List Special accommodation needs: __________________________
_________________________________________________________
REGISTRATION FEE ______$250.00 per couple ________ $125.00 Single
(Includes Banquet and Hospitality room, Memory Book, Hat, Women's Tea
and Farewell Breakfast)
Reunion Shirts @$20.00 ea. Size M_____L_____XL_____XXL_____
XXXL_____ (add $2.00 extra for 2XL and 3XL)
Donation ____________ Total Amount Submitted _________________
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Optional Tour Activity Packages
1. Charleston Harbor Tour _______________ @ $37.00 = $ ________
2. Confederate Submarine Hunley Tour_____ @ $90.00 = $ ________
3. Patriots Point Tour ___________________ @ $42.00 = $ ________
4. A Carriage Ride In The Past Tour _______ @ $45.00 = $ ________
5. Romantic 2 Hour Sail Tour ____________ @ $57.00 = $ ________
(Rate change for #2 and #5)
TOTAL: $ ________
Make Checks Payable to Rockaway Reunion
Mail to. Rockaway Reunion, PO Box 1514, Tavares, FL 32778
If you have any questions concerning the Reunion, contact Frank Virgilio at
(856) 881-8347 or email: njco@comcast.net
| USCGC / USS ROCKAWAY APRIL 18-20, 2008 REGISTRATION FORM |
