USS Lewis and Clark 2019 Reunion Registration

Name:________________________________________________________

Guest/Spouse: __________________________________________________

Address: ______________________________________________________

City/State/Zip:_________________________________________________

Phone: __________________________

Email: ________________________________________________________

Room: Thursday:______; Friday:______; Saturday:______

King: ____ or 2 Beds: _____

Extra Nights: Tuesday:____; Wednesday:_____; Sunday_____; Monday:____

Credit Card for Room Gty: CC Number: _________________________________________

Exp Date:_____ Sec Code: _____ Name on Card: ________________________________

Years On Board: (i.e. '75 - '78):_______________________ Crew:________________ 

Reunion Fee $150.00 per person

Fee covers hospitality suite, Friday dinner, Saturday Dinner, and reunion memento!

Optional Thursday Dinner Cruise: $56.00 per person.

Optional CSS Hunley Tour: $20.00 per person

Optional Historic Charleston Tour: $22.00 per person; Charleston Old City Jail Tour: $22.00 per peron

Final Payment Due:

Basic Reunion Fee ____@$150.00 per person = $________________

Optional Dinner Cruise ___ @56.00 per person = $__________________

Optional

Historic Charleston Tour______@ $22.00 per person = $___________

Old City Jail Tour________@ $22.00 per person = $___________

Optional CSS Hunley Tour ______@$20.00 per person = $_________________

 

Total Due ___________________ CHECK ONLY (Payable to "Shellback Cruises")

Mail to Shellback Cruises, 2131 Westrivers Road, Charleston, SC 29412