VIETNAM HELICOPTER CREW MEMBERS ASSOCIATION

161^st AHC

Mini-Reunion

2005 REUNION LZ San Antonio, Texas

JUNE 22 - 26, 2005

Nickname for

Name ______________________________ Name badge ______________________

Address ___________________________ Dates/Units ____________________

City/State/Zip ____________________ Crew/Position ____________________

Home Phone ________________________ Name of Spouse/Friend _____________

Email Address _________________________

Number Attending Reunion ______ Children Attending Reunion _________

REGISTRATION FEE (Families are included in registration fee)

(Prior to May 31, 2005) . . . . . . . . . . . . . . . . $35.00 $ _________

After May 31 . . . . . . . . . . . . . . . . . . . . . $40.00 $ _________

Non-Member (does not include T-Shirt . . . . . . . . . $30.00 $ _________

VHCMA Membership Dues for one year . . . . . . . . . $30.00 $ _________

Reunion Registration Fee includes (1) Reunion T-Shirt for VHCMA members

Indicate size: S ____ M ____ L ____ XL ____2X ___ 3X ____

Shirts will be distributed at the reunion.

Additional T-Shirts at $9.00 ea . . . . . . . . . . $9.00 x $ _________

Quantity/Sizes: S ____ M ____ L ____ XL ____2X ___ 3X ____

If not attending reunion, add $2.50 each for shipping . . . $ _________

23 JUNE, THURSDAY

Tour of the city & sightseeing on your own NO CHARGE

DUTCH COVERT GOLF CLASSIC, Number Attending ____ x $45.00/pp $ _________

Tee times to be determined

24 JUNE, FRIDAY

0900-1600 Hours – Shuttle Bus to and from The Alamo, River Walk,

San Fernando Cathedral and Market Place (includes bus and donations)

Number Attending _____ x $10.00/pp $ _________

1750 Hours - Pizza Party & Beer Tasting _____ x $5.00/pp $ _________

25 JUNE, SATURDAY

Ladies Luncheon (Noon) Number Attending _____ x $15.00/pp $ _________

Dinner Dance 1800(Hours) Number Attending _____ x $30.00/pp $ _________

(All are invited to the dinner--raffle drawing during dance)

. Total Amount Enclosed $ _________

Arrival Date ____________ Departure Date ____________

SEND COMPLETED FORM AND CHECK OR MONEY ORDER TO:

VHCMA, PO BOX 1026 Collierville, TN 38027-1026

If you have any questions regarding the VHCMA Reunion Registration,

please contact Charlie Rains at the VHCMA (901)754-1022