| Event Registration Fee $20.00 per Person $__________ |
| with spouse/guest .$ 30.00 .$ ___________ |
| Reception/ Dinner $34.00 per person $ __________ |
NAME:____________________________________Spouse/Guest_______________________________
Address________________________________________________Phone:______________________
City,State,Zip_______________________________________________________________________
Email Address: :
Dates on Board ___19_______TO 19_______ Rank/Rate__________________
TOURS PER PERSON $ 37.00 $ __________
Choice of Dinners
Roasted Statler Breast of Chicken Quantity $___________
Pan Seared Sirloin of Beef Quantity $ __________
Pan Seared Sea Scallops Quantity $ __________
GRAND TOTAL Quantity $ __________
Roasted Statler Breast of Chicken Quantity $___________
Pan Seared Sirloin of Beef Quantity $ __________
Pan Seared Sea Scallops Quantity $ __________
GRAND TOTAL Quantity $ __________
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