Registration Form
French Lick Springs
Hotel
8670 West State Rd 56
French Lick, In 47432
Phone: (812)
936-9300 - Fax (812) 336-5944
Make reservations in the name of First Battalion Fourth Marines Reunion
All hotel reservations must be received on or before 9 September 2017.
Registration Forms Due by 5 September 2017
Name: _______________________________________________________________________
Spouse/Significant Other Attending: ________________________________________________
Address: _____________________________________________________________________
Phone: ____________________________ E-Mail: _________________________________
Names for Name Tags: ______________________________________________Company ______ Plt _______ Div ______
I will be arriving on (date): ______________________________________________________ Flying ______ Driving _____
If flying into Reunion, please let hotel know the Airline, Date and Time of arrival at Louisville Airport for hotel pick-up.
Reunion “Golf/Polo” Shirt $25.00 x _______ ____________
Circle Size: S M L X XX + $2.00 3X + 2.50 4X + $3.00 5X + $4.00 6X + $5.00
T-Shirts $14.00 x _______ _____________
Circle Size: S M L X XX + $2.00 3X + 2.50 4X + $3.00 5X + $4.00 6X + $5.00
Caps or Visors (caps for men, visors for women) Cap x ___ Visor x ___ $10.00 x ______ _____________
Registration Fee (Veteran Only) $50.00 x 1 $50.00
Grand Total Enclosed $___________
REMEMBER SEND YOUR REGISTRATION INFORMATION ASAP TO:
1st Battalion 4th Marines Association
11176 Linnell Dr
St Louis, Mo. 63136
314-741-7604
Make check/money order out to: 1st Battalion 4th Marines Association
Remember to bring an article from your home or state (gift must exceed $25.00) for the AUCTION.