REGISTRATION FORM

Naval Cryptologic Veterans Association New England Chapter (NCVA-NE)
Friday, October 11, 2013 through Sunday, October 13, 2013
Host: Ed Carey
 ed- carey@comcast.net

HOTEL INFORMATION:

Hyannis Harbor Hotel,
213 Ocean Street, Hyannis, MA 02601
Website: hyannisharborhotel.com

Contact: 508-775-4420 Reservations: 800-655-2047

Hotel Booking Code: NCVA // Room Rate: $149.00 + 11.7% Mass tax

IMPORTANT! The cut-off date for hotel reservations is September 14, 2013
NOTE: If you plan on arriving 1-2 days early or staying after Sunday the rate is $79.00 + 11.7% Mass tax

Staying at the Hotel? YES _____ NO _____
Friday ______ Saturday _____ Other Nights _____

REGISTRATION FEE (MEMBERS ONLY) $5.00 $_________

BADGE INFORMATION DO YOU NEED A BADGE FOR YOU OR YOUR SPOUSE/GUEST NO____YES____

Member's Name __________________________________________
Spouse/Guest Name __________________________________________
Hometown & State __________________________________________

FRIDAY, October 11, 2013 Welcome Social at the Spanky’s Clam Shack & Spank’in Raw Bar
5:00PM - 7:00 PM: Cash Bar // Due to the large selection of appetizers pay as you go. Visit their web-site to plan accordingly: http://spankysclamshack.com/menu.html

SATURDAY, October 12, 2013
5:00PM - 5:30PM Social Hour (cash bar) // 5:30 PM - Dinner (select one per person):

*Broiled Cod – topped with lemon and buttered bread crumbs (_____)
*Steak Tips – tender sirloin, grilled to perfection (_____)
*Baked Chicken – half chicken, lightly spiced (_____)
Served with Spanky’s award winning New England Clam Chowder, Chef’s starch and vegetable,Chef’s Dessert, Coffee, tea or soda

All inclusive per person price: $30.00 X number of persons: = $________ Breakfast: (x $12 per meal) $__________

TOTAL: $__________ 

PAYMENT INFORMATION:  (THE CUT-OFF DATE IS October 5; SEPT 27 w/Breakfast)

Make checks payable to: "NCVA-NE" and mail to:
Art Gowie 
PO Box 599
Bangor, Me, 04402-0599
Tel: 207-974-7866
Email: 
macintoshman@myfairpoint.net