REUNUION REGISTRATION FORM

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