Professional Documents
Culture Documents
>> Complete and mail this entire form with a check payable to:
Military Reunion Planners, P.O. Box 1588, Colleyville, TX 76034
>>> PLEASE PROVIDE THE FOLLOWING:
Name (as it appears on your Government issued identification): ________________________________________
Name (As you want it to appear on badge): ________________________________________________________
Spouse (Name as it appears on Government issued identification ):_______________________________________
Spouse (Name as you want it to appear on badge):____________________________________________________
Guest(s)(provide guests names as they appear on Government issued identification) :
____________________________________________________________________________________________
Member SSN:___________________________________ Date of Birth (ddmmyy)_____ ____________________
Spouse SSN:____________________________________ Date of Birth (ddmmyy)_________________________
Guest SSN:_____________________________________ Date of Birth (ddmmyy)_________________________
Current Address: ______________________________________________________________________________
City: ___________________ __________ _________________ ___St: __________Zip: _____________
Phone: (Home)___________________________ Phone:(Other):_________________ _____________________
Email Adresss:______________________________________ _______________________________________
Emergency contact during the reunion: _________________________________________Ph:______________
Years Served: 19________ to 19________
Reservations are due by September 9th, 2011.
Late reservations accepted on a space available basis with a non refundable $10 per person late fee.
For information call weekdays: 817-251-3551 or Email: info@MilitaryReunionPlanners.com .
Date Rec’d: Check # Amount$ XCL #