VIETNAM HELICOPTER PILOTS ASSOCIATION

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VIETNAM HELICOPTER PILOTS ASSOCIATION Powered By Docstoc
					                           OHIO RIVER LZ CHAPTER
             VIETNAM HELICOPTER PILOTS ASSOCIATION
                 2010 REUNION REGISTRATION FORM

NAME:                                                 YEARS IN VIETNAM:

VIETNAM UNIT:                                         NATIONAL VHPA NUMBER (if a member):

ADDRESS:                                               CITY:

STATE:              ZIP:                               HOME PHONE: (           )

E-MAIL ADDRESS:                                        CELL PHONE: (       )

SPOUSE’S NAME:

GUEST NAME(S) ATTENDING REUNION:

OHIO RIVER LZ ANNUAL DUES          ($10.00/EACH OHRIVLZ PILOT)       _10_ X _1_         = $ _____

REUNION REGISTRATION FEE ($11.00/PERSON ATTENDING) ____ X _11__= $                          _____
FOR BANQUET ONLY ATTENDEES PLEASE ADD $4 REGISTRATION FEE FOR A TOTAL OF $40)

DINNER RESERVATION ($36.00) PERSON )                               ____ X ____        = $ ______
(Includes cost of dinner, catering fee, tax, & tip)

TOTAL ENCLOSED                                                                     = ____________
PLEASE MAKE CHECK TO: OHIO      RIVER LZ CHAPTER
PLEASE MAIL TO:               DANNY YOUNG
                              960 PILOT KNOB ROAD
                              AUBURN, KY 42206
                              270-542-8397 cell
                              270-303-2857 HOME
                              barb_dannyyoung@msn.com,


                 VERY IMPORTANT CUTOFF DATES
             ROOM RESERVATIONS BY JANUARY 26, 2010
                 Make or Cancel Banquet Reservations
             NO LATER THAN MIDNIGHT February 22, 2010