2015 HAZELWOOD REUNION - Reservation Form
Shipmate:
____________________________ Tel:
_____________________________
NAME YRS ON DD531 RATE/RANK DEPT
1. _______________________________ ________
_______________ _________
2. _______________________________ ________
_______________ _________
3. _______________________________ ________
_______________ _________
1. HAZELWOOD Cap.
One size fits all. Made in USA Pick up at reunion OR
shipping
for Addl. $5.00 Qty: ______ x $10.00 = $
_________
MON APR 27 - 9AM- 4PM Qty:
______ x $71.00 = $ _________
and USS Wisconsin - TUE APR 28 9AM-4PM Qty: ______ x $91.00 = $ _________
COMMEMORATION CEREMONY AT CHAPEL -
WED APR 29 - 9AM - 2PM Qty: ______ x $58.00 = $ _________
6. BANQUET-WED APR 29 EVENING -Tip &
Tax included
A. Roasted Sirloin of Beef served with homemade rosemary and peppercorn Au Jus. Qty:
______ x $35.00 = $ _________
B.
Chicken Verde - Battered breast of chicken topped with fresh
broccoli
and melted mozzarella in white wine lemon butter Qty:
______ x $35.00 = $ _________
5. Registration Fee.
Covers hospitality room, refreshments, mailing costs and other
necessary costs. $
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)
PLEASE RETURN AS SOON
AS YOU ARE ABLE, BUT NOT LATER THAN
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