RESERVATION FORM
U.S.S. JOHN R PIERCE DD-753 2016 REUNION
October 3-7, 2016
Tampa, Florida
(Please print all information)
Shipmate Name (name on tag)
_______________________________(__________)_____________________________
Years on Board 19_____ to 19_____ Rate_________ Rank__________
Spouse Name (name on tag)
_______________________________(__________)_____________________________
City/Town_________________________________ State_____________
Guest Name (name on tag)
_______________________________(__________)_____________________________
City/Town_________________________________ State_____________
Guest Name (name on tag)
_______________________________(__________)_____________________________
City/Town_________________________________ State_____________
DINNER: BUFFET WITH ALL THE TRIMMINGS
Registration $15.00 X _____ Persons = $________
Dinner Banquet* $28.00 X______Persons = $________
Tour $20.00 X______Persons = $_________ (includes transportation costs & admission)
(American Victory Ship)
Total $________
* Includes gratuity and taxes
{ } Visit to a Casino (by a group or on your own),
Make All Checks or Money Orders Payable To:
USS JOHN R PIERCE DD-753 SAILORS ORG INC.
PLEASE MAIL TO KARL SO IT WILL ARRIVE BY SEPTEMBER 1, 2016
KARL COX
4610 HOMINY RIDGE ROAD
SPRINGFIELD, OH 45502