2025 REUNION ATTENDANCE FORM
Mail this form, with your check made payable to USS WILLARD KEITH REUNION ASSOCIATION to: Mike McHenry, 2308 Chesapeake Avenue, Hampton, VA 23661-3207. Mike needs to receive this form and your check, no later than September 1, 2025.
If you need further information, please contact Mike or Joe at the following:
HOME - (757) 244-6648
HOME - (603 )429-0290
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I plan to attend the Reunion at St. Augustine, FL, and have paid my annual dues for 2025
in the amount of $25.00. If not paid, I will promptly send the forgoing amount to:
Paul Goldberg, 1549 Sprayberry Drive, Marietta, GA 30066.
Attendee information (please type or print clearly)
Name of attendee: __________________________________________________
Name of guest (s): __________________________________________________
Event: Trolley Tour
cost: $31.00 per person
number of persons:_________
sub-total cost for this event: $___________
Event: Cruise Tour
cost: $66 per person
number of persons:_________
sub-total for this event: $___________
Event: Banquet Supper
cost: $60.00 person
number of persons:_________
sub-total for this event: $___________
TOTAL of above costs (check enclosed): $___________
If you, or a member of your party, has special dietary requirements, please specify by
name and requirements:______________________________________________
If you, or a member of your party, has special mobility requirements, please specify by
name and requirements:____________________________________________________