Reservation Form
96th Annual H.F.A. Reunion
Friday, June 19 through Sunday, June 21, 2009
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.)

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 ______
Reunion Info
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