Allanfurtado.com
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71st TRANSPORTATION BATTALION VIETNAM VETERAN’S REUNION
August 24th – August 28th, 2020
Crowne Plaza
801 Greenwich Avenue, Warwick, RI 02886
(401) 732-6000
__________________________________________________________________
REGISTRATION FORM
Name:___________________________________ Spouse/Guest:______________________________________
Mailing Address:__________________________________________________________________________________
City:______________________________________ State:___________________ Zip Code:________________
Phone:________________________________ Email:___________________________________________
Name on Badge:_________________________________________Company__________Years __________________
Spouse/Guest Name on Badge:_____________________________________________________________________
Arrival Date _____________________________ Departure Date______________________________
Member Registration Fee: $15.00 Per Person Number of People______ Total $_____________
71st Battalion Banquet $60.00 Per Person Number of People______ Total $_____________
Newport Tour $75.00 Per Person Number of People______ Total $_____________
Mystic Tour $80.00 Per Person Number of People______ Total $_____________
Banquet price also includes all service charges and taxes. Total Price : $ ________________________
Make check payable to: Allan Furtado
Mail to: Allan Furtado, 52 Liberty Street, Unit A-4, Plymouth, MA 02360
Please return the registration form, along with your check, before July 24th, 2020, or sooner.
Emergency Contact Name & Number:___________________________________________
Please advise me and the hotel if you have any special needs.
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