HMM 162
Reunion 2004 Registration Form
July 8 -11, 2004 Reno NV
Name:
___________________________________________________
Address:
____________________________________________________
City:
_____________________________State: ___________Zip: _______
Telephone#:_______________Email
Address: _______________________
Nick
Name__________________WifeÕs Name_______________________
Names of
Additional Guest Attending_______________________________
What Date Will
You Arrive for the Reunion: ________________________
What Years Did
You Serve With HMM 162: _________________________
Registration Fee (Hooch Fee):
The HMM 162 registration or
hooch fee is $75 per person. Which covers the hooch expenses (food
snacks, beverages etc.), the HMM 162 mini-reunion dinner buffet on Friday July
9, 2004.
Number of People attending:
_______ X Registration Fee at $75 per person. (See Above)
Total Amount of Registration
Fees $________________________
MAKE ALL CHECKS PAYABLE TO: HMM
162 ALUMNI FUND
Note at the bottom of your
check that this is for reunion registration
Please print this form,
fill it out and mail it along with your payment to:
Jim Carroll
HMM 162 Alumni Fund
209 Farmdale Road West
Hopkins, MN 55343-7186