Text Box: Andy Reunion 2009 Registration Form
The Town and Country Inn & Conference Center
2008 Savannah Highway
Charleston, SC  29407
843-329-3304

Text Box: Name: ______________________________________
Address: ____________________________________
               ____________________________________
Phone: (________)_________-  _________________
Email: ______________________________________
Arrival Date/Time: ___________________/________
Text Box: Name(s) of Others Attending
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Total Persons Attending:  _______
Text Box: Name(s) to be Shown on Name Tags:  _____________   ______________  _______________  _______________
Text Box: Reunion Costs
                                                                             Amount
Registration Fee: Couple $25                            $______
                              Single $15                               ______
                             Additional Person  $10         ______
Formal Dinner: No. of Persons ___ X $30      ______
Andy Ball Cap Order (From Right)                    ______
Total Amount Enclosed:                                    $______
Please make check or money order payable to Walter Haught and mail to:
             Walter B. Haught
             5357 Cordgrass Bend LN
             Port Orange, FL  32128
Text Box: Please indicate which events you would be interested in (indicate number of persons attending):
 
____  Golfing      ____  Other (Indicate)  _______________      ____  Other (Indicate) ____________    Other (Indicate)  _____________
Text Box: Please be sure to contact the Town and Country Inn & Conference Center to make your hotel reservation!

Text Box: Year(s) Served Aboard the Andy: ___________________________   Rate/Rank: __________________________

Andy Ball Cap Order

 

 

Amount

Andy Ball Cap

$15.00 EA X† _____

$______

CDR/CAPT Scrambled Eggs:

 

$2.00 EA X _____

 

$______

Admiral Scrambled Eggs:

 

$2.50 EA X _____

 

$______

 

Total:††

$______

Note:† The caps are navy blue and are adjustable (one size fits all).†† The order for the caps MUST be made at least 6 weeks before the reunion.