114th Aviation Company
"Knights of the Air"

2005 Reunion Registration Printable Form
Tacoma, Washington   July 28-31 2005

You may print this form by using the "print button"
 at the top of your browser window.

Listed below are the registration and tour costs for the reunion.  Please enter how many people will be participating in each event and total the amount. Send this completed form along with your check made payable to 114th Aviation Company Association if paying by check or money order.  Enter credit card information as required. (Visa or MasterCard Only). and fax the completed form to the number below.

Card Number: .........................................  Expiration Date: ....................

Name on Card: ......................................................................................

Mail to: Jeffrey W. Carr
PO Box 447
Gig Harbor, WA 98335-0447
Telephone: 253-857-4942
Fax: 253-851-1688
Office Use Only:
Check #: .......................................
CC Payment: ................................
Date Received: .............................

Item Cost Number Amount
* Member Registration Fee $80.00 x ............ $ ............
* Spouse/Guest Registration Fee (each) $70.00 x ............ $ ............
* Children under 18 years $35.00 x ............ $ ............
Mariner's Baseball game - July 28 - 7 pm $30.00 x ............ $ ............
Mt. St. Helens Tour July 29 - 9-5 pm. $25.00 x ............ $ ............
Membership Fee: Now thru 12/31/06 $30.00 x ............ $ ............
Please make checks payable to 114th Aviation Company Association Total: $ ...............
* Registration fee includes cost for Saturday Banquette & Hospitality suite. ___________________________________________________________

Member Name (for name tags) .................................................. Year(s) served:........................
Spouse Name: ..................................................................................................................................
Guest Name: .....................................................................................................................................
Guest Name: .....................................................................................................................................
Street Address: ................................................................................................................................
City, State, Zip Code: ......................................................................................................................
Phone: ................................................... Email: ................................................................................
Emergency Contact: ........................................Phone: ..................................................................
Special Dietary/Disability Needs: .................................................................................................
............................................................................................................................................................
All registration forms and payments must be received by June 24, 2005. After that date, all reservations will be on a space available basis. Hotel reservations must be made directly with the Tacoma Sheraton Hotel at 253-591-4142 or 888-627-7044. Mention the 114th to obtain the group rate.

 

 

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Created by Terry A. Dell, White Knight Crewchief 69-70' Republic of Vietnam 
in association with members of the 114th Assault Helicopter Company
 who served May 1963 to February 1972.

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