To make our reunion a success and eliminate any unnecessary last minute rush or confusion, please fill out the following pre-registration form.
This form covers the cost of our Banquet Buffet and round trip bus transportation to the Iwo Jima Memorial and Arlington Cemetery on November 10th and to the Veterans Day Services at the Vietnam Veterans Memorial "WALL" and the Women's Memorial on November 11th.
Name ________________________________________________________________
Address ______________________________________________________________
_____________________________________________________________________
City __________________________ State __________ Zip Code _____________
Telephone Number ______ - ______________
Military Unit ________________________________ Date of Service ______________
Number of people attending ______________
Names of people attending _______________________________________________
_____________________________________________________________________
Banquet Buffet: $35-00 per person -X- number attending ________ = __________
Bus Service:$20.00 per person -X- number attending _________= __________
Total Price = __________
Make Check or Money order payable to:
Dusters, Quads & Searchlights
____ MasterCard or ____ Visa
Account Number ________________________________________
Expiration Date _____/___ Cardholder's Signature _________________________
Mail this form and payment to:
Joseph Belardo
527 O'Donohue Ave.
South Plainfield, N.J. 07080
