If you have trouble reading this form send me an email and I will send it to you via email. Jim julian
dd531reunion@earthlink.net
2013
HAZELWOOD REUNION
Reservation
Form
Shipmate:
____________________________ Tel:
_____________________________
Rate/Rank: ___________________ Year(s) Served:
____________________
Name(s) as you wish them to appear on your name tag(s).
PLEASE PRINT:
Examples:
Jim Julian
58-60
LTJG
OPS
Carol Julian Spouse
NAME YRS
RATE/RANK DEPT
1. _________________________
________ _______________ _________
2. _________________________
________ _______________ _________
3. _________________________
________ _______________ _________
HOTEL RESERVATIONS:
The reunion will be held at the Radisson Hotel Providence Airport.
YOU MUST MAKE YOUR OWN HOTEL RESERVATIONS.
Call 1-800-967-9033 and be sure to tell
them you are with the
Hazelwood Reunion.
The room rate will be $79 per night plus tax or $99.00 for an Executive Suite.
The hotel has free shuttle service to and from the Providence airport.
SELECT OPTIONS FROM
THE LIST BELOW AND SEND A CHECK FOR THE TOTAL
1. HAZELWOOD Cap.
One size fits all. Made in USA
Qty:
______
x $10.00 =
$ _________
2. MEN’S HAZELWOOD
SHIRT. Made in USA
Select
Size: S M
L XL
2X 3X Qty: ______
x $25.00 = $ _________
3. Bus Tour USCG Academy-New London –Tips included.
Tour is on Saturday, April 27, 2013, 9 AM - 3 PM Qty:
______ x $25.00 = $ _________
4. Bus Tour
Battleship Cove – Fall River – Tips Included
Tour is on Sunday, April 28, 2013 10 AM – 4 PM
With
Buffet Lunch …….. Qty:
______ x $61.00 = $ _________
OR With
Deli Lunch ………. Qty:
______ x $57.00 = $ _________
5. Bus Tour Newport
& lunch at Naval Base Officer’s Club
Tour is Monday, April 29, 2013 9 AM - 4 PM
Qty: ______
x $54.00 =
$
_________
6.
Banquet (Monday,
April, 29, 2013) Tip & Tax included
A. Roast
Prime Rib of beef w/sides and dessert.
Qty:
______
x $38.00 =
$ _________
B.
New England Baked Cod w/sides and dessert.
Qty: ______
x
$34.00 =
$ _________
C.
Chicken Marsala w/sides and dessert
Qty:
______
x $33.00 =
$ _________
5. Registration Fee.
Covers hospitality room, refreshments, mailing costs and other
necessary costs.
IF YOU HAVE ALREADY PAID DO NOT PAY AGAIN $
30.00
TOTAL AMOUNT DUE $ __________
Make your check payable to
JIM JULIAN - REUNION
and mail it to:
Jim Julian Questions? – Call: Tel: 941-276-1217 (cell)
318 Salt Creek Dr.
North Port, FL 34287
PLEASE RETURN AS SOON
AS YOU ARE ABLE, BUT NO LATER THAN MARCH 15, 2011