189th AHC REUNION
APPLICATION
Colorado Springs
May 3-7, 2017
Name: Last
__________________First Name:_______________________
Name on Name
Tag:____________________________________________
Name
Last:__________________ First Name:_______________________
Name on Name
Tag_____________________________________________
Address:_________________________City:______________________State:_____Zip:________
Your
Cell:________________ Wife’s
Cell:________________
E-mail:___________________________________@_______________________________
189th AHC: Dates in
unit:___________To:_________ Platoon:__________ Section:______________
604th TC Det: Dates
in unit:_________To:_________ Section:________________
189th
Call Sign:
_________________________________________________________
604th
Call Sign:
________________________________________________________
Other Units
Assigned:_____________________________________________________
REGISTRATION FEE: $45.00 + $15.00 for each additional person that attends with you.
(Husband and
wife/friend=$60.00)
TOTAL:
$________
(Registration fee
includes: Welcome packet, nametags, hospitality room with drinks and snacks,
meeting rooms.)
All attendees are required to pay.
Thursday May
4, 2017:
Modern day mule train to Ft. Carson and tour the 4th CAB at Butts Army Airfield and Ft. Carson
Museum and a
surprise that we are still working on for a few lucky folks.
Transportation Cost $ $25
per person
X ______
= $_______ TOTAL:
$_________
Lunch on
your own in Military Dining Facility or food court
Friday May
5, 2017:
Modern day
mule train to Garden of the Gods and the the Air Force Academy Chapel
Transportation Cost $25
per person
X ______
= $_______ TOTAL:
$_________
(Lunch on
your own at the Air Force Academy club or food Court
Saturday May 6th, 2017: Peterson AFB Air and Space Museum and WWll Aviation Museum.
(Lunch on
your own: Transportation
Cost $25
per person X ______
= $_______
TOTAL:
$_________
WWll
Aviation Museum $8 per person
X ______
= $_______
TOTAL:
$_________
Dinner
Banquet:
Seared
Chicken Breast with Boursin & Artichokes with Lemon Garlic Butter
Cost $ 40.00
per person X
______
= $_______ TOTAL:
$_________
Broiled Top
Sirloin with Burgundy Mushrooms and Demi Glaze
Cost $
40.00
per person X
______
= $_______ TOTAL:
$_________
Make check
payable to 189th AHC
TOTAL AMOUNT INCLOSSED $_______
Date Received:___________ Check
Number: ______
Do you have any special Dietary or ADA (Handicapped) Do you have food allergies? Need of a wheelchair
ADA bath room etc.? Needs?______________________________________________________________________________________________________________________________________________________________________________
If you are a
vegetarian please indicate above:
Vegetarian cost will be the same as the dinner.
Name: __________________________
Wife/Other________________________________
HOTEL RESERVATION CONFIRMATION
NUMBER_________________________
ARRIVAL DATE: ________________
Air Line:________________ TIME:_____________Flight # _______
DEPARTURE DATE:_____________
Air Line:________________ TIME:_____________ Flight # _______
Arriving by POV:
Date____________ Date
of Departure:_________________
If you are flying in to Colorado Springs the arrival and departure information will insure that the hotel has shuttle
services available for you upon your arrival or departure. Shuttle service is by reservations only! If you fail to
provide your flight information a shuttle may not be available. By providing your flight information I will make
your reservation.
Taxi one way is $40-$50.
EMERGENCY CONTACT:
Name___________________________________
Relationship_____________
Phone Number:
____-_____-______ Cell Number:
____-______-____
An EMERGENCY CONTACT IS REQUIRED IN CASE OF AN EMERGENCY. It cannot be the person attending the reunion
with you.
No application will be accepted
without an emergency contact.
Please Note:
We are asking you to provide an emergency contact. We never know when an emergency may arise, therefore
to better serve you and your family we ask you to cooperate with us. We also recommend that you bring a list
of medicines. If you wear eyeglasses you might consider bringing a copy of your prescription. We will not ask
for a list of your medicine or a copy of your prescription, but it is better to be prepared in the event you lose
your medicines are glasses. (Do not
put your list or prescriptions in your checked baggage.)
NOTE: IF YOU HAVE SPECIAL DIETARY OR ADA NEEDS AND DO NOT INDICATE THEM ABOVE, THE 189TH AHC OR IT”S
PLANNERS
WILL NOT BE RESPONSIBLE.
If you are on a special diet or have a handicap that would require handicap accommodations we ask that you
provide that information also that we might prepare for you. These areas must also be addressed on your
application early. Make sure you
notify the hotel when making your reservations.
ADA rooms go fast.
If
you plan to bring a guest we must have their name(s) also.
If you live in the Colorado Springs area and you and members of your family plan to attend any part of the reunion,
but do not plan to stay at the hotel you will be required to provide the 189th AHC Reunion with an application and
pay a registration fee. The form must be filled out to include emergency contact information. If you plan to have
dinner or attend any of the events payment must also be included.
Please Note: All Money and reunion
application must be received No Later Than 3 March 2017.
Cancellation Policy: If you provide the 189th AHC Reunion with an application and pay the applicable fees
before 3 March 2017 you will be reimbursed all fees. April 3 thru April 31, 2017 all fees except registration fees will
be reimbursed. After May 1, 2017
reimbursements will be made on a case-by-case base.
We must pay the hotel for the dinner, hospitality room, the bus company and other venues early on to hold this
reunion. In most cases we have already paid out to these venues before you arrive for the reunion. After we
give a final count of expected attendee’s to the venues we cannot get your money back. We regret this, but we
have
no control over this.
Mail TO: Gerry Sandlin – 189th AHC PO Box 638 Vinemont, AL 35179 before March 3, 2017.
Make check to 189th AHC
For more information call:
256-531-7830 most any place in the world.
E-mail gerry.sandlin@gmail.com