Reservation Form 96th Annual H.F.A. Reunion Friday, June 19 through Sunday, June 21, 2009 |
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Please fill out this form and mail it along with your check payable to : Edwin R. Hathaway 163 Dragonfly Drive Titusville, FL 32780 Any Questions? 321 269-6089 or E-mail at [email protected] Deadline for registration is May 19, 2009. (We'll work with you if you register late.) |
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Registration Fee - $15 x number of persons.................................................$ ______________ FRIDAY Dinner is at a local Coacoa Beach restaurant. Number of persons interested.......................................... _____________ SATURDAY BREAKFAST in the Meeting Room $20 x number attending..............................................$_____________ LUNCH at Deli in Hospitality Room $6 x number attending................................................$______________ Kennedy Space Center W/Bus (See details in HFA bulletin) $60 x number attending...............................................$______________ Air Boat Ride W/Bus $50 x number attending..............................................$______________ Alligator-Jungle Adventure W/Bus $35 x number attending.............................................$______________ DINNER at Hotel Meeting Room Adults- $40 x number attending................................$______________ Children under 12- $15 x number attending................$______________ Indicate total number for each choice: Boneless Breast of Chicken ____________ Grilled Mahi Mahi ____________ 12 oz. Center cut Pork Chop ____________ Sliced New York Sirloin ____________ SUNDAY BREAKFAST in Hotel Dining Room-back room-separate checks Indicate the number of people interested ....................._____________ TOTAL..........................................................................................................$______________ Please print your names (s) as you would like it to appear on your name tags: _________________________________________________________________________________ Address: _______________________________________________ _______________________________________________ Telephone: ____________________E-mail: ____________________ Indicate if you are arriving by car yes_____ no _____ Indicate how many you would be willing to drive to the restaurant Friday Night ______ |
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Reunion Info | |||||||||||||||||||||||||
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