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 Dinner - Cost Per Person $43.20

Dinner Choices                                                                                                Chicken - $16.45  x _______          

                                                                                                               Smoked Pork - $16.45  x _______            

Transportation to Dinner                                                            $20.00 round-trip per person   x _______  

Bar Set-up per person                                                                                     $6.75 per person   x _______    Total ____________
        

                                              

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.