REGISTRATION FORM
2017 Vietnam Chinook Veterans' Reunion

October 5-8, 2017

 Four Points by Sheraton Nashville Brentwood, 760 Old Hickory Boulevard, Brentwood, Tn. 37027


Name _______________________________________________________________________

Guest's Name ________________________________________________________________

Address _____________________________________________________________________

City _____________________________________ State ___________ Zip _______________

Telephone __________________________ Email ___________________________________

Unit _______________________________ Dates in country __________________________

Military occupation ( Pilot, FE, CE, Commo, etc) ___________________________________

Last rank held or retired rank ___________________________________________________

Enter amounts below

Reunion registration        $40.00                                          _________________

Dinner                                $34.00 per person                      _________________

Bus Transportation to Ft. Campbell. If needed.
 approx.   $25.00 per person                                                _________________
        
Total Amount due:                                                                ________________

Mail this form with your check to:ASHC Reunion, c/o Tom Messenger
                                                                                             733 Bohannon Circle
                                                                                             Oswego, Il. 60543
     Make checks payable to: ASHC-VVA                                                                                          


FOR YOUR HOTEL RESERVATIONS: Click on the link on your web site (www.179thash.org ) or go to the hotel website: https:// www.starwoodmeeting.com/events/start.action?id=1612076341&key=A3FB8B2 or call 1-866-961-8096

For more information call: Tom Messenger 708-203-6096
                                              Stan Neckermann 314-487-5384