2012 Reunion Registration Form

    Name Last Name First MI

    Home Address

    City State Zip

    Phone #    Cell #    Fax:

    Email please give us a way to contact you if we have questions.
                all blocks will expand to hold all of your information.

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   I was in the 68th AHC   Yes       No Just place a X in the box that applies (yes or no).

   Years you served in the 68th AHC :    From    19   -   19     enter the last two digits of the year example:   67

   Primary Duty         Rank upon departing the Unit

   Did you retire from the military?       Yes           No        select one box - place a small x in the block
   if you retired from the military fill out the 3 blocks below

           Service        Date    Rank
                            Army, Navy, etc.                           date discharged                   Sp-4, WO1, Enl., Off.

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List the Names (first and last in the same block) of all the people who will be attending the reunion with you.
Enter your name in the first block - add ages for all attendees under 18 years of age.

How are you getting to the reunion?        Driving     Flying    Other

If Flying what airport will you be landing at

Are you interested in sharing a ride from the airport to the hotel if coordination can be arranged Yes            No

Staying at the Atlanta/Marietta Hilton Hotel & Conference Center Yes                No     The Primary Reunion days are 20 - 23 Sept. 2012.
       The discount rate is available before and after the starting and ending dates.

Date you are arriving Sept. Date you are departing Sept. example: ( 8th) or the number 8

Number of Rooms you will be reserving If you need more than one room let us know, otherwise skit this one.

Have you made your reservations Yes No Have you already made your plans, let us know.

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The Saturday Night Banquet Dinner - will be a "plated dinner" vs. a buffet. The menu for dinner includes a choice of
Beef or Chicken as the main meat item. Below indicate with a number the members of your party attending their choices
of each main meat items.

Number desiring Beef as the main meat item enter a number example 1, 2, 3, etc.

Number desiring Chicken as the main meat item

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We are planning the following activities, during the reunion, please indicate those activities you wish to participate in. We realize some of you may not
indicate it now and wish to join us after arriving and that is OK, we need the best information for planning.

Please enter a number of you party that you think will participating in each activity.

Golf at the near by golf course - Approximate cost is $40 per person

To view attractions in Atlanta go to the Reunion Page and click on City Attractions & Sights. Coming Soon

Remarks:
This is an unlimited space, just keep typing if you fill the box above.