Reunion Registration Form

If you desire to print this form and pay with a check,
turn on your printer and

CLICK HERE.

This registration form is for those who have full intention of attending the reunion regardless of the current COVID pandemic. Due to contract constraints, we will need to know who these people are by April 25th.

Anyone registering must understand that if the reunion is canceled after April 15th, their registration money will be held for next year's registration or donated to the Association.

The canceling of last year's reunion created myriad problems and expenses for the Association. We had to pay a fee for using a credit card and then another cancellation fee. We wish to avoid those problems in the event there is a similar situation this year. Please indicate how your funds will be used when registering.

The hosts, Dan and Betty Korty, and the Executive Committee appreciate your patience and understanding.

PERSONAL Information:
     Your Name: Spouse's Name
     Guest's Name: Guest's Name
     Guest's Name: Guest's Name
     Street Address:
     City, State   ZIP Code: ,  
     Your E-mail Address Is Required:
     Telephone Number:
     Rank In Vietnam:
     Job (Pilot, medic, cook, clerk, etc.):
     Company Within 15th Med Bn:
     Dates Assigned To 15th Med Bn: 
   
Hotel Reservation:

Courtyard By Marriott - Kokomo

Get free high-speed wireless Internet access at this Courtyard. Check into the Courtyard Kokomo and check out our award-winning accommodations & warm, friendly staff. Take some time to relax in our indoor swimming pool or workout in our fitness center. Rise & shine in the morning to a delicious breakfast (not included in room rate) in the Bistro. Reserve your room by 15 Apr 21 to guarantee reunion rate.

You will receive a welcome letter at the hotel reservation desk with pertinent information.

Your will receive your registration packet, nametags, and schedule at the hospitality room.

Reservations are now open by calling 765-453-0800 or clicking here to book your room with the group rate for 15th Med Battalion

additional information:
  Have you registered with the Kokomo Marriott?      Yes      No 
Staying in different hotel 
  Arrival date  
  Departure date
Fly-in     Drive-in 

Reunion Registration:
   
Please indicate how your registration fee will be used if the reunion is cancelled.
Hold for next reunion      Donate to Association
Registration Fee $15.00 person
One spouse or guest is allowed free Free person
Additional guests $5/person persons
Box lunch for Huey excursion day $10/person persons
Late Fee (After 15 May 2021) $15
     
Saturday Dinner Buffet:
The Buffet -  $35/person persons
Total to be charged to your credit card or PayPal account
 
 

NOTE: If you clicked the button above and nothing happens, scroll up the page and see if there's an error.

Note: Any damage or harm to either person or property caused by any Association Member or their guests while attending an Annual Reunion shall be the sole responsibility of that Association Member and/or their guests.


15th Medical Battalion Association EIN: 82-1517632

Texas Taxpayer Number: 32064960969

The 15th Medical Battalion Association is registered as a non-profit tax-exempt private foundation with tax-exempt status granted under IRS rules section 501(C)(3) of the Internal Revenue Code.

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