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

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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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