MARINE CORPS DISBURSING
ASSOCIATION
19 –
NAME __________________________
SPOUSE/GUEST_______________________
ADDRESS________________________
CITY___________STATE_____ZIP_______
TELEPHONE _________________
EMAIL___________________________________
Host Hotel: SANDS DUNE RESORT/HOTEL
|
Please make your
room reservations directly with the hotel at (800)599-9872. Reservations need to be
made by |
|
THE BELOW FEES ARE TO BE PAID DIRECTLY TO THE
ASSOCIATION |
Price Per Person |
# of Persons |
Total |
|
Registration Fee per Person NON-REFUNDABLE |
$25.00 X |
|
$ |
|
MEALS/Planned activities (optional) |
|
|
|
|
4 Breakfasts |
$36.00 X |
|
$ |
|
Buffet Dinner |
$26.00 X |
|
$ |
|
Banquet |
$36.00 X |
|
$ |
|
Cookout |
$15.00 X |
|
$ |
|
Medieval Times |
$45.00 X |
|
$ |
|
GRAND TOTAL |
|
|
$ |
__Check __Credit Card __VISA __MC Card
No._____________________________.
Expiration Date ___ /______. Signature
of Card Holder __________________________.
TOTAL Payment $_____________.
Send Registration Form and payment by Mail to:
MCDA, c/o Michael Thiry
T-Shirt Size ______ ______
(Med, Lg, Xlg, 2X, or 3X) (Included with registration)
Attendee Guest
Questions may be sent
to s.pawloski@hotmail.com or call
(816) 804-9372
Optional activities can be arranged through the hotel including shows, golf, shuttle, etc.