REGISTRATION - 2021 USS SALT LAKE CITY ASSOC. REUNION NAME_________________________________________________________________ EMAIL________________________________________________________________ PHONE________________________________________________________________ Names of others in your party _____________________________________________________________________

Banquet Dinner Choice

How Many?

Beef

Chicken

Fish

Vegetarian

REUNION FEES: COST                                               How Many?                                           Total                                       Reunion fee: $125/person_____________________________________$______ River cruise (optional): $93 each_______________________________$______ City tour (optional): $24 each__________________________________$______ Swamp tour (optional): $24 each_______________________________$______ TOTAL REUNION COST ____________________________________$______ Children 12 years of age and under are free. Please make checks payable to: USS Salt Lake City CA-25 Assoc. Mail this registration form and check to: Al Jowdy, Treasurer 13410 Holston Hills Dr. Houston, TX 77069 Please submit your registration by June 12, 2021.