Florida Carbide Reunion 2010 Reservation Information *** Please Print ***

Last Name: ________________________ First Name: ____________________ MI: ___

Street Address: ____________________________________________ Apt: __________

City: ________________________________ State: ____ Zip: _____________________

Phone: ________________________ Email: ___________________________________

Retire  Date: ___________ Div: ______________________ Loc: ___________________

Spouse Name (if attending): ________________ First Time Attendee? (Yes/No): _______
Attendees Meal Selection(s)
  Note: Select a meal for each attendee and include full name for guests.
      Retiree ...............................................................Chick __  Beef __  Fish __
      Spouse ...............................................................Chick __  Beef __  Fish __
      Guest(s) _______________________________Chick __  Beef __  Fish __
      _______________________________________Chick __  Beef __  Fish __

Remittance: Total No of Attendees ____ x $15 = Amount ___________ Check No: _________
Remit To: Carbide Reunion
                 c/o Ron Gatto
                 2977 Bradford Circle
                 Palm Harbor, FL 34685
Optional Interests (Check):
    ___ Golf Outing Saturday Morning
    ___ Information to reserve a table for 10                                web-01

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Note: Please send your remittance as early as possible to assist committee in planning the reunion activities and to assure success of the reunion. Because time is so short we need a viable attendee count as soon as possible. Thank you. Reunion Committee.

The Doubletree has given us a special rate of $79 per room night for reunion attendees.

You must contact the hotel to book your room(s).

Hotel Phone: 1-(800) 222-8733 Note: Ask for Union Carbide rate OR group code UCR

OR you may book online at: http://doubletree.hilton.com/en/dt/groups/personalized/TPATLDT-UCR-20100309/index.jhtml

For more information go to: www.crc-inc.org/events/reunion/futurereunions.aspx