2017 Lancaster Reunion Activity Form

 

Register for the reunion by filling out this form. Please print.

Note: All charges include tips.

 First NameLast Name
Yours _____________ ________________________
Spouses _____________ ________________________
Guest _____________ ________________________
Other _____________ ________________________
 PhoneEmail
  _________________ _________________________
Home Address ___________________________________________

Are you a first time attendee? ___________ If so you will be given a name tag.

ActivityPer
Person
#
Persons
Total
Sunday June 4, 2017
Registration fee
$30.00 _____ ________
Monday June 5, 2017      
Bus Transportation $20.00 _____ ________
Amish farm house      
Kitchen Kettle Village      
Wheatland $15.50 _____ ________
Outlaw Restaurant Individual Checks    
Tuesday June 6, 2017      
Bus Transportation $20.00 _____ ________
Gettysburg Battlefield $3.00 _____ ________
General Pickett Restaurant    Individual Checks    
Wednesday, June 7, 2017      
Bus $6.00 _____ ________
Ephrata Cloister $9.00 _____ ________
Isaac's Restaurant Individual Checks    
Banquet and Raffle** $33.00 _____ ________
    Grand Total ________

Buffet with a choice of two entrees

Entree Qty
Pepper Crusted Pork Loin with Whole Grain Mustard Bordelaise   __________
Seared Chicken with Lemon Caper Sauce __________
 

Send a check made out to USS Bainbridge Association and mail to:
Dick Holloway - Treasurer
9307 Teakwood Ln
Garden Ridge, TX  78266