REUNION RESERVATION FORM

PHOENIX, AZ 2012

Return this reservation form with your check payable to the USS Blandy Association by 9-01-12

Send check to: Robert Leech From: Name______________________________

4454 Old Pittsburg Rd Address:_________________________________

Wampum, PA 16157-5612 City__________________State____Zip________

`` Phone_________________Cell_______________

Association Dues 2012 $ 10 ____________

Reunion Fee $ 20 per person =____________

Schedule of Events: Friday October 12, 2012

Grand Canyon Bus Tour $ 40 per person =____________ (only 56 seats available)

Saturday October 13, 2012

Rockin’ R Ranch Chuckwagon Supper/Dinner Show

Bus transportation included (Western wear if you would like----great for

photos!) $ 40 per person=_____________

HOSPITALITY ROOM

Please fill out and let us know what beverages and snacks you would like to see in the hospitality room. We will do our best to accommodate you.

Alcoholic Beverage______________________________________________________________

Non Alcoholic beverage__________________________________________________________

Snacks (chips, candy, cheese, crackers, veggie tray, etc)____________________________________________________________________