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’ Luncheon
No._____
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_____