63^rd Anniversary Reunion

USS HORNET ASSOCIATION

Washington, DC Area

September 14-18, 2011

REUNION REGISTRATION FORM

Member Name: _______________________________________Wife/Guest: _________________________

Address:________________________________City:_________________________State:________Zip:____

Phone: (______) _______-________ Fax: (______) _____-______ E-Mail: ___________________________

Emergency Contact Name______________________________________ Phone:______________________

This is new information: Yes / No              This is my first Reunion: Yes / No

I served aboard (circle one): CV-8 / CV-12 / CVA-12 / CVS-12             Division: _____

_____ will attend the reunion.  Total number attending at $87.00    per person: ________

_____ will attend the Friday Barbeque

_____ will attend the Saturday Banquet.  Choice of entrée:  _____ Beef _____ Chicken ____Fish

_____ will attend the Sunday Get-Away Breakfast

I have the following special dietary needs: __________________________________________________

Please check all that apply:

____I will make my Holiday Inns and Suites reservation before August 5^th

____I have sent my Tour Reservation Form and check directly to National Reunion Planners by

August 5^st

____I have my Name Badge from previous reunion _____   I turned in my Name Badge at last reunion

____I am mailing my Name Badge Form and $5 per person for new name badge to Secretary’s Office by  August 14^th

____I am enclosing my 2011 Dues. *Note* (2011 dues must be paid to attend the Reunion)

____I am paying my Reunion Registration of $ 87.00 per person by Aug. 5^th. Total enclosed $________

____I cannot attend the reunion. I am enclosing $_______ towards _____Dues _____ Donation

Please indicate the date and time of arrival.     Date____________________ Time__________

I would like to volunteer to ___Be an Airport Greeter ___Be a Reunion Host ___Assist at the Reunion

Mail To:

USS HORNET ASSOCIATION, INC

REUNION

PO Box 108

Roaring Spring, PA  16673

This entire form must be returned by August 5, 2011 (Checks made out to: USS HORNET Association, Inc.) No Reunion Registration refunds will be made after September 1, 2011 for any reason.  Thank you! Please do not hesitate to call 814-224-5063 if we can be of assistance or e-mail us. See you in Washington DC!

Carl and Sandy Burket