USS Park, Sutter & Litchfield County Reunion Registration Form
Details of the reunion and all events are described on the Reunion Info page
Contact Information
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*First Name:
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*Last Name:
 
Address 1:
* Denotes required field
Address 2:
 
City:
 
State:
 
Zip Code:
 
Phone 1:
 Example format: 555 555 5555
 
Phone 2:

If you do NOT have an email address available copy and paste this text into the email fields: noemail@none.com
*Email Address:
*Confirm Email Address:
   
Ship (or squadron) you served on:
Approximate dates you were aboard an LST or with LANSHIPRON-3:
   
Berthing Arrangements

Arrangements have been made with the Embassy Suites - Portland Airport as our Offical Reunion Hotel. The address is 7900 NE 82nd Ave, Portland, OR 97220, phone: (503) 460-3000. The rate is $109 per night plus 12.5% city occupancy tax per night. Please see the main information page for additional information.

Hotel reservations for the reunion must be made directly with Embassy Suites. When making your reservations use this code for our group rate:  "LST"
Will you be staying at the headquarters Embassy Suites Hotel Friday and Saturday nights?



Number of reunion attendees in your group
(including yourself):
Activities
Gorge Bounty Adventure ($52 per person) or Cannon Beach / Tillamook Coast Tour ($39 per person)

Note: These tours are both on the same day, do not sign up for more than one!
Gorge Bounty Adventure
Cannon Beach / Tillamook Coast Tour

Will you attend the Friday Captains Night Dinner?
Number of dinner guests attending (including yourself):

Will you attend the Saturday Banquet Dinner?
Number of dinner guests attending (including yourself):

Will you attend the Sunday Railroad Brunch?
Number of guests attending (including yourself):

Souvenir Items
Would you be interested in purchasing commemorative items? Availability of the items will depend on interest expressed by attendees prior to the event. Please check any items that interest you. This is not a commitment to purchase any items. For Tee-shirts you will be contacted for sizes desired.

Tee-Shirt (Estimated Cost $15) :


Baseball Cap (Estimated Cost $20):


(Chuck Horejs will again coordinate the orders and payments for Tee-shirts and hats. Please contact Chuck at 408-778-0766 or via email scdoctor1@hotmail.com )
Vietnam Era Ships Patch (cost $7 ea):
USS Park County
USS Litchfield County
USS Sutter County

* Help us trick the spammers! Choose the word that best describes the picture seen below this line (failure to pick the correct answer will result in the form NOT posting):

Thank you for taking the time to fill out this form. We look forward to seeing you at the reunion.

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