REGISTRATION FORM FOR 2022 MOBILE REUNION
September 19-23, 2022

MAIL TO:USS Antietam Reunion, Sandy Haskin, Secretary/Treasurer,
57 Oak Street, Westfield, NY 14787

REGISTRATION:
Reunion Registration Fee: _____(number of people) x $115.00 per person = $____.00

Indicate number and type of entrée desired for Thursday night banquet:
                                   Prime Rib                            No._____ @ $55 ea.          $____.00
                                   Chicken Teriyaki                  No._____ @ $38 ea.          $____.00 
                                   Baked New Orleans Fish    No._____ @ $38 ea.          $____.00

TOURS: Tuesday .: USS Alabama/Lunch/Historic Mobile
                                    _____ (number attending) @ $69 each                        $____.00

               Wednesday all day: Bus to National Naval Aviation Museum/Lunch
                                    _____ (number attending) @ $56 each                        $____.00              


                                                                                  TOTAL COST:                  $____.00

Enclosed is a check made payable to USS Antietam Reunion in the amount of $_______for ____ 
(number attending). Please include the names of all guests for name badges.

PLEASE INDICATE THE NUMBER ATTENDING THE FOLLOWING MEALS:
                                 Monday Welcome Aboard    No._____
                                 Thursday Men’s Luncheon   No._____
                                 Thursday Ladies’ LuncheonNo._____
                                 Thursday Banquet                No._____
                                  Friday Breakfast                   No _____


NAME:_________________________________GUEST NAME____________________________

ADDRESS:_____________________________________________________________________

PHONE:___________________________E-MAIL ADDRESS_____________________________

DATES SERVED ABOARD THE ANTIETAM________________DIVISION/DEPT._____________

CANCELLATION/REFUND POLICY
Remember, it is our policy that if you register early and then later have to cancel due to illness or some other emergency,
we will refund your registration fee as follows:
Cancellations before August 18, 2022: Full refund of registration fee.
Cancellations after August 18, 2022: No refund, with the exception of medical emergencies, unless we 
can get the hotel to adjust the food charges.

Will you be needing airport – hotel transportation? YES_____ NO_____


REUNIONS