Mobile Reunion Online Registration

When you submit this form you will be directed to PayPal where you can sign in and complete payment for the reunion. Upon completion of the payment you will be directed back to the web site. You will receive a copy of the registration form and an itemized receipt from PayPal via email.

USS BELKNAP ASSOCIATION 2019 REUNION REGISTRATIONFORM

October16 – October 20, 2019

HolidayInn Downtown Mobile

301Government Street Mobile AL 36602

For reservations, call(251) 694-0100and use GroupCodeUBR

Please read all of the instructions carefully as you complete this page, to make sure everything is accurate.

Group rates are available for up to 3 days prior to and following the reunion at $102.00 plus tax. Room rates are guaranteed until Wednesday, Sept. 16, 2019

Shipmate Name*

Guest(s) Name

Years inboard (ex. 66-68)

Rank/Rate when onboard

Registration $30 After Aug 1 $45*

$45 Registration

Guest fee $20/per 1st guest free

BANQUET: #

The banquet will be plated and all entrees will include Fresh garden salad, and chef’s selection of starch, as well as Chocolate Cake OR New Orleans style bread pudding for dessert. Also included are Fresh Rolls & Butter, Fresh Brewed Coffee or Iced Tea. (specify number of each in the space provided below)

(Saturday, Oct 19, 2019) $37.50 (including tax and gratuity)

Non-refundable after 15 Oct.,2019

Chardonnay Chicken: Sautéed Chicken Breast in a White Wine Butter Sauce

Chardonnay Chicken Dinners

Baked New Orleans Fish: Served with a shrimp cream sauce

Fish Dinners

Prime Rib: Tender, tasty, and delicious, hot au jus

Prime Rib Dinners

Number of Chocolate Cake desserts

Number of Bread Pudding Desserts

Special Meal Requirements

BREAKFAST: The hotel is offering special pricing ($6 each) if you register in advance. You will pay for them as part of your room charge when you checkout of the hotel. Be sure to notify the hotel when you register how many breakfasts you desire and for what days. Please indicate the TOTAL number of breakfasts you wish in the # People column below.

Total Breakfasts you are registered for or for which you plan to register

LADIES BREAKFAST:

Aspecial Ladies’ Auxiliary breakfast is scheduled for Friday from 0645 to 0800. The plated meal consists of scrambled eggs, breakfast potatoes, bacon and sausage patty, with juices, sliced fruit, assorted pastries and muffins. Coffee and hot tea will also be available. The venue will depend on the number of attendees. Because the hotel needs to know the exactnumbers in advance, you MUST indicate your preference here.

Will you attend Auxiliary breakfast

TOURS:

The tours being offered this year are:

Naval Aviation Museum,Fri – 0830-1430; $65/person/lunch inc

Aviation Tour

Eastern Shore of Mobile Bay, Sat. – 0830-1400; $65/person/lunch inc.

Shore Tour

2019 Membership Dues

Is this your first reunion?

If no how many have you attended

Lady guests, are you a member of the Auxiliary?

Would you like to become a member of the Auxiliary

Are you willing to help out at this reunion?

Special questions so that we can provide info tohotel:

Are you planning on booking the cruise?

Are you planing on parking a car at the reunion?

Please complete the contact information below so thatwe can make sure our master roster is up to date.

Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Phone

Total Due

Verification

Payment