USS SHANGRI-LA ACTIVITY REGISTRATION FORM

Listed below are all registration, tour, and meal costs for the reunion.  Please enter how many people will be participating in each event and total the amount. Send that amount payable to ARMED FORCES REUNIONS, INC. in the form of check or money order.  Your cancelled check will serve as your confirmation.  Returned checks will be charged a $20 fee.  You may also register online and pay by credit card at www.afr-reg.com/shangrila .   All registration forms and payments must be received by mail on or before May 20, 2010.  After that date, reservations will be accepted on a space available basis.  All new registrations accepted at the reunion will be charged a $10 onsite processing fee.  We suggest you keep a copy of this form.  Please do not staple or tape your payment to this form.

                                                                                               

Armed Forces Reunions, Inc.                                                 OFFICE USE ONLY                     

322 Madison Mews                                                      Check #  _________ Date Received _________

Norfolk, VA 23510                                                         Inputted _________ Nametag Completed _____

ATTN:  USS SHANGRI-LA                          

CUT-OFF DATE IS 5/20/10

Price Per

# of People

Total

TOURS

WEDNESDAY: SOLDIERS AND SAILORS MUSEUM / NATIONALITY CLASSROOMS

$  45

 

$

THURSDAY: PHIPPS CONSERVATORY AND FRICK CENTER

$  58

 

$

FRIDAY: CITY TOUR

$  52

 

$

MEALS

WEDNESDAY: DINNER IN HONOR OF PLANKOWNERS (Please select your entrée)

 

 

 

CHICKEN FLORENTINE 

$  34

 

$

 ROAST PORK TENDERLOIN

$  35

 

$

THURSDAY: PITTSBURGH THEME DINNER BUFFET

$  39

 

$

FRIDAY GROUP DINNER (Please select your entrée)

 

 

 

  CHICKEN PICCATA  

$  34

 

$

  PAN SEARED TILAPIA

$  35

 

$

SATURDAY:  BANQUET (Please select your entrée)

 

 

 

  ROAST SIRLOIN OF BEEF

$  44

 

$

  SALMON WITH LEMON BUTTER DILL SAUCE 

$  35

 

$

SUNDAY FAREWELL BREAKFAST

$  18

 

$

MANDATORY PER PERSON REGISTRATION FEE

Includes Hospitality Room and administrative expenses.

 

 

 

   MEMBERS REGISTRATION FEE

$  18

 

$

  SPOUSE / GUEST REGISTRATION FEE

$  15

 

$

Total Amount Payable to Armed Forces Reunions, Inc.

 

 

$

PLEASE  PRINT  NAME  AS YOU WOULD LIKE IT TO APPEAR ON YOUR NAMETAG

 

FIRST _______________________________LAST _______________________________________________________________________

 

DIVISION ON BOARD____________________________        YEARS ON BOARD 19____ - 19______        PLANKOWNER?  q YES  q NO 

 

SPOUSE NAME (IF ATTENDING)______________________________________________________________________________________

 

GUEST NAMES____________________________________________________________________________________________________

 

STREET ADDRESS_________________________________________________________________________________________________

 

CITY_________________________________________ STATE ______________________ ZIP____________________________________

 

PH. NUMBER (________)_________-_________                                 EMAIL ADDRESS ___________________________@_____________

DISABILITY/DIETARY RESTRICTIONS_________________________________________________________________________________

(Sleeping room requirements must be conveyed by attendee directly with hotel)

MUST YOU BE LIFTED HYDRAULICALLY ONTO THE BUS WHILE SEATED IN YOUR WHEELCHAIR IN ORDER TO PARTICIPATE IN BUS TRIPS? q YES  q NO  (PLEASE NOTE THAT WE CANNOT GUARANTEE AVAILABILITY).  

EMERGENCY CONTACT________________________________________ PH. NUMBER (_____)_____-________

For refunds and cancellations please refer to our policies outlined at the bottom of the reunion program.  CANCELLATIONS WILL ONLY BE TAKEN MONDAY-FRIDAY 9:00am-5:00pm EASTERN TIME (excluding holidays). Call (757) 625-6401 to cancel reunion activities and obtain a cancellation code.  Refunds processed 4-6 weeks after reunion.