Reservations
Name:
E-Mail:
Rank:
Street Address:
City, State, Zip:
,
Phone:
Ship:
Organization:
Membership:
Weekend membership $30
Friday $15
Saturday $15
Sunday $15
Captain's Call:
No
yes, CO
yes, XO, CO not going
yes, XO in addition to CO $16
Saturday Formal Banquet:
1 person $25
2 people $50
3 people $75
4 people $100
Other
If Other:
Mousepads $5:
Enamel Logo Pin $5:
T-Shirt $12:
Large
XLarge
XXLarge
More than one
More than one, how many?
Comments (multiple memberships information entered here):
Payment Type
Pay at door
PayPal
You will recieve a e-mail within 24 hours with your confirmation number. If you do not recieve one, contact regionone@regionone.net
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