Queenfish Joint Reunion 2005 Registration Form

Kings Bay, Georgia

Name: __________________________________ No. in Party___________________

Address: _______________________________

City ___________________________________State _________, Zip Code: _________

Phone #: ___-___-___ E-mail Address: ________________________

Event Selection

Date Event Description Cost Each No. Attend Total for Event

REGISTRATION FEE $30.00 ________ $__________

July 29 TRIDENT TOUR** FREE ________ $__________

July 29 TRIDENT TRAINING TOUR FREE ________ $__________

July 29 ALUMNI DINNER $15.00 ________ $__________

July 30 BRIEF SUBMARINE MUSEUM FREE ________ $__________

July 30 GOLF TOURNAMENT $25.00 ________ $__________

July 30 BANQUET $27.50 ________ $__________

July 31 BBQ DINNER $15.00 ________ $__________

** Please provide the following information required by the Nvy to conduct security checks for participating in the tours. Each tour size is limited to 50 people so registrations will be on a first come/first served basis. Requests received in excess of 50 will also be submitted for security checks for the standby list in case there are no-shows or someone has a change of plans/minds. All personnel over the age of 16 participating in the tour must present a photo ID.

Full Name Citizenship Place of Birth

___________________ _________ _______________________

___________________ _________ _______________________

Please send registration form and Please add additional names on back of form

make check payable to:

Keith Garrison -

43 Harrington Road

North Kingstown, RI 02852

(401) 884-5676

E-mail : garrison651@queenfish.org