| 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.
|
