22nd Infantry Regiment Society Reunion

April 14 - 17 2011 Atlanta, GA

Registration Form

print this form and follow instructions below

Name: ______________________________________________________________Phone___________________ 

Address:____________________________________________________________City:____________________ 

State: ____________ZIP:____________    E Mail:_________________________________________________

I served with the 22nd Infantry Regiment in ____  Company _____Battalion ______Division    Dates served:____________

I served in support of the 22nd Infantry Regiment:   Unit_____________    Dates served:___________ 

I did not serve/support the 22nd Infantry Regiment but am (would like to be and Associate Member

Please book your own Hotel Reservation early:   Embassy Suites Hotel-Atlanta Airport 

                                                                   1-800-362-2779 

NOTE:  Rooms are blocked under the name “22nd Infantry Regiment Society Reunion”. Identify yourself with the Society to receive the room rate  listed below.Double Suite Total room plus tax is $107.35   King / Queen Suite Total plus tax is $89.27 

Hotel reservations must be received before March 22, 2011.  Room type are on a first served basis. The group rate will be accepted 3 days post and prior based on availability (availability very limited)

To register for the Reunion, use this form (complete back of this form) 

Make checks payable to:  22nd Infantry Regiment Society 

Mail completed form and checks to: 

            22nd Infantry Regiment Society

            c/o Martin Oelklaus

            P.O. Box 3258

            Independence, MO 64055-8258 

Question concerning the reunion:  Contact Skip Fahel at 281-714-9592 or e-mail at eqf15@aol.com

Step 1:  Dues (Check One) 

____   I already paid my dues for 2011.  No dues are enclosed 

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

____   My dues for 2011 are enclosed ($10.00 or $22.00 for a “Double Deucer" 

____   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       Age 80-89   $60.00     Age 70-79   $100.00    Age 60-69   $140.00 

   Age 50-59   $190.00    Age 40-49   $230.00   Age 30-39   $270.00     Age 20-29   $300.00

                                                                                          Step 1 Total   ____________

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

Registration Fee:  Member or Associate member     $20.00  (On Site Registration $25.00)

 Guest (Age 18+)                              $10.00                     Guest (under 18)                                 0.00 

               First Name                       Last Name                            City/State               Registration Fee

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

                                                                                                          Step 2 Totals: ______________

Step 3:  Group Meals and Transportation 

Ladies Breakfast Buffet:                               No.______        @       $20.00            Total:____________ 

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

Friday  Dinner:   Twin Pork Medallions         No._____         @       $38.00             Total:___________ 

                                Grilled Chicken           No._____          @      $36.00              Total:___________ 

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

                         Grilled Atlantic Salmon       No:_____          @      $42.00             Total:___________ 

                                                                                         Step 3 Totals:  ___________

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

Step 5:  Purchase of raffle tickets:  $1.00 each or 6 for $5.00      No:________  

Ticket to be picked up at registration desk at Reunion             Step 5 Total:  ____________

Total Amount enclosed (total of Steps 1, 2, 3, 4, and 5)            Grand Total:    _____________