2024 Annual Meeting Registration Form

2024 Annual Meeting Registration Form

Registration is open until August 30, 2024
Location: Residence Inn Springfield Old Keene Mill
6412 Backlick Road Springfield, Virginia 22150

Questions? Please call

Annie Duncan: 609-841-0476
Attendee Information

Please fill name and contact information of attendees.
Your Name*

First NameLast Name
Relationship to the Deadeyes you would like listed on your name badge*
Email Address*
example@example.com
Cell Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Will you have any guests with you?

YesNo
Guest Name

First NameLast Name
Relationship to the Deadeyes you would like listed on your name badge
List additional guests here
Full name and relationship to Deadeyes for name badge
Will you have transportation to/from events (rental car, personal car etc.)?

YesNo
If yes will you be willing to give a ride to other Deadeyes to events?
If yes, how many persons do you have room in the vehicle for?
Please use the link below to book your hotel stay to get our group discount

Event Summary:
96th Infantry Division Assn Heritage Fund
Start Date: Thursday, October 17, 2024
End Date: Monday, October 21, 2024
Last Day to Book: Wednesday, September 18, 2024
Hotel offering your special group rate:

Residence Inn Springfield Old Keene Mill for 169 USD - 229 USD per night

Click here to Book your group rate for 96th Infantry Division Assn Heritage Fund

Please register for events below.

Registration FeeRequired for each person attending; increases to $30 after July 31

$20.00 Quantity

Beer BustFriday 6:00 pm. Meeting room. First round of beer on the Association. Drinks available for purchase at the hotel lobby bar.

$ Free Quantity

Mt. Vernon Wreath LayingSaturday, October 19, 10:00 am

$22.00 Quantity

Dedication Ceremony Nat'l Museum of the ArmySunday, October 20, 10:00 am

$ Free Quantity

BanquetMaggiano's - Saturday, October 19. 6-10pm

$65.00 Quantity

Meeting T-shirt - Long sleeve

$35.00

Total

$0.00

To use this form and register online you must pay via credit card through Paypal below. To make changes after submission please call. Do not submit a new form.

If paying by check you will need to call Ann Duncan so she can manually register you:

Annie Duncan

(609) 841-0476

1015 Foulk Rd.

Wilmington, DE 19803
Pay with PayPal

Choose from one of the PayPal options to make your payment.
Should be Empty:

Attendee Information