2011 USS Pursuit Reunion Registration Form 
September 20 -22, 2011
St. Louis MO 

We need to know who is coming so we can make a badge and welcome packet for each and every one of you!

If you’d like to attend the tour and/or banquet, please fill in that part too so we can make the proper arrangements!

Please send your Banquet money with your reservation form to Roger by August 20, 2011!

Name(s):  
Address:  
City:   State: Zip:
Home Phone:   Cell:
E-mail: 

# People

Date

Tour

  Cost

Bus
Circle answer if you'd like a bus for our tour!

09/21/11  Museum of Westward Expansion at the Arch   Free Yes No
  09/22/11  Anheuser-Busch Tour   Free Yes No
  09/22/11  Banquet Buffet at Hospitality Room / Bartolino's Osteria

  $31 (includes tax & tip)

  09/22/11  Business Meeting in the Hospitality Room

  Free

  1. We will be bringing and/or renting our own car _____ Yes   _____ No

  2. We are willing to share our car for the above trips _____ Yes   _____ No

  3. If yes to #2 above:  We can hold _______ additional people

  4. Our arrival date is: ____________________  Our departure date is: ___________________

*If we order a bus for the tours then there will be an additional charge (TBD) for them.

Print out this page, fill out this form and mail along with your check to:
Roger Cortivo · 6841 Pawnee Drive, French Village MO 63036
rgcortivo@yahoo.com  (573) 358-5203

Please make check out to "Roger Cortivo" and mail to him by August 20, 2011