USS Lewis and Clark 2017 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 $100.00 per person

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

Optional Thursday Dinner Cruise: $55.00 per person.

Optional CSS Hunley Tour: $20.00 per person

Optional Historic Charleston Walking Tour: $20.00 per person

Final Payment Due:

Basic Reunion Fee ____@$100.00 per person = $________________

Optional Dinner Cruise ___ @$55.00 per person = $__________________

Optional Historic Charleston Walking tour______@ $20.00 per person = $___________

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

Jacket Size: Shipmate:_________________Spouse/Guest:_____________________

 

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

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