The 2003 U.S.S. Marcus Island Reunion in Kansas City

_______________________ Registration Form _______________________
 

 

Listed below are all registration, tour, and meal costs for the 2003 MIRA reunion in Kansas City
Please enter how many people will be participating in each event and the total amount due.

The registration fee is required for everyone attending. It covers the costs of administration and furnishing the Hospitality Room. The cutoff date for registration is September 5, 2003

 
Name
 _____________________________________
Yrs. aboard
19____  to 19____   Division________
Spouse
 _____________________________________
 
Street
 _____________________________________
Check if staying at the Wyndham Garden (   )
City / State / Zip
 _____________________________________
Arrival
________ / ________ / ________
Phone

_____________________________________

Departure
________ / ________ / ________
Emergency Contact

_____________________________________

Guest(s)
_____________________________________
Phone
 _____________________________________
_____________________________________
Per Person
# of People

Total
• Registration Fee (required)
$17.00
x  ______

=  $ ____________
Thursday 
• Kansas City Barbeque
$25.00
x  ______

=  $ ____________
Friday  

• Independence Tour
     Truman Library & Museum
        Lunch at Stephenson's Apple Farm
$49.00
x  ______
=  $ ____________
Saturday  

• Kansas City Highlights Tour
      Arabia Steamboat Museum Visit
$38.00
x  ______
=  $ ____________

• Saturday Evening Banquet
$33.00

x  ______
=  $ ____________
 

# for Prime Rib ____

# for Chicken   ____

  
   

 

TOTAL

 

=  $ __________
 
Please make checks payable to MIRA and mail to:

Lillian Adams
5450 Grape Street
San Diego, CA 92105-5524