USS BELKNAP ASSOCIATION 2009 REUNION
Shipmate's name___________________ Guest name_____________________
Dates on board___________________ Div./Dept while onboard___________
Additional Guest (s)________________ ___________________ ________________
#persons $subtotal
REGISTRATION FEE (Shipmate Only) $30.00. #_____ $ _______
One guest free, additional guest of two or more $25.00 ea # _____ $______
Banquet
Cost $35 per person
Make your selection from one of the following entrees:
* Herb Grilled Salmon . . . . . #_____ $______
* London Broil . . . . . . #_____ $______
* Chicken Marsala . . . . . . #_____ $______
Tour: Downtown tour and a visit to the Arch with a trip to the top or a movie.
Please specify your preference: Top of Arch # ____ Movie # ____
(Guided drive-by of many other St. Louis sites will also be included).
Tour at $33 per person – driver/guide gratuity not inc. . . #_____ $_______
Total . . . #_____ $______
* * * * * * * * * * * * *
Please send all checks payable ONLY to the USS Belknap Association to:
Jeff Milnes
490 East End Ave
Beaver, PA 15009
Note: You may also pay your $20.00 association dues at this time.
Please PUT THE NAME you wish to have on your name badge:
Your full name & guest's name should be put on the above registration form also.
Shipmate________________________________ Guest___________________________