Name:_______________________________________________________________Phone_____________________  Address:_____________________________________________________________City:______________________  State:____________ZIP:____________       E-Mail:____________________________________________________

Please book your own Hotel Reservation early:       Marriott Seattle Airport, 3201 South 176th Street, Seattle, WA 98188 1-800-314-0925

 NOTE:  Rooms are blocked under the name “22nd Infantry Regiment Society Reunion”

Identify yourself with the Society to receive the room rate of $99.00 plus 12.4% tax.

 (Total room plus tax is $111.28 for a single or double room.) 

Hotel reservations must be received before September 8, 2009

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To Register for the reunion with the society:

Print and complete this entire form.

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Make checks payable to:  22nd Infantry Regiment Society 

Mail completed form and checks to: 

The 22nd Infantry Regiment Society

c/o Martin Oelklaus

P.O. Box 3258

Independence, MO 64055-8258 

Questions concerning the reunion?  Contact  eqf15 @ aol.com

 

 

 

 

Step 1:  Dues (Check One)

____   I already paid my dues for 2009.  No dues are enclosed

____   I am a Life Member.  No dues are enclosed.

____   My dues for 2009 are enclosed  $10.00 or $22.00 includes contribution to The22nd Infantry “Double Deucer fund”

____   I am on Active Duty with a rank of E-5 or below (Special $4.00 rate) 

____   I want to be a Life Member (see rates below)  Date of birth:__________________ 

Age 90+ $30.00 80-89 $60.00 70-79  $100.00  60-69  $140.00  50-59  $190.00 40-49 $230.00  30-39  $270.00   20-29  $300.00 

                                                                                                                             Step 1 Total       $________________

Step 2:  Mandatory Reunion Registration Fee    (Information for Name Badges)

Registration Fees:  Member or Associate Member $20.00      Guest (Age 18+) $10.00    Guest (under 18) $0.00 

First Name	Last Name	City/State	Reg. Fee
____________	____________________	____________	$______
____________	____________________	____________	$______
____________	____________________	____________	$______
____________	____________________	____________	$______

Step 3:  Group Meals and Transportation 

Ladies Breakfast Buffet:                 No.______        @       $25.00            Total:____________ 

Bus to Fort Lewis                           No._____          @       $25.00            Total:____________ 

Friday Evening Italian Buffet         No._____         @       $35.00             Total:___________ 

Saturday Banquet:   Chicken            No:_____          @      $40.00             Total:___________ 

          Salmon                                   No:_____         @       $40.00            Total:___________

                                                                                                                                   Step 3 Total: $______________

 Step 4: Optional Donation to offset reunion cost (Hospitality room)                       Step 4 Total: $______________

Step5: Purchase of raffle tickets:  $1.00 each or 6 for $5.00  No:______                    Step 5 Total:  $ _____________

Tickets can be picked up at the registration desk at the reunion.

 Add  Steps 1, 2, 3, 4 and 5 = GRAND TOTAL                                                                      $_______________