REGISTRATION FORM

Please send your completed form with your check to Fran Gramberg by March 10, 2014

Name(s): __________________________________________________________________________

Spouse/Friend:                                                                   Email: ________________________________

Address:                                                                             Phone: _______________________________

Arrival by:  Car             Plane             Arrival Date/Time ___________  Departure Date _______________

TUE 4/15

Welcome to New Orleans Buffet

Quantity

Cost

Subtotal

 

Red Beans and Rice with Chicken Gumbo Adult

 

$20

 

 

Child (4-12)

 

$15

 

WED 4/16

National WWII Museum includes Movie

Quantity

Cost

Subtotal

 

Adult

 

$40

 

 

Senior

 

$35

 

 

Student and Retired Military with ID   

 

$25

 

 

WWII Veteran

 

FREE

 

 

 Stage Door Canteen Musical with Lunch

 

$35

 

 

Dinner at Mulate’s Cajun Restaurant

Quantity

Cost

Subtotal

 

Five Entrée Custom Menu Adult

 

$55

 

 

Child (under 12)

 

$30

 

THU 4/17

City Tour, Lighthouse with Lunch

Quantity

Cost

Subtotal

 

Adult

 

$80

 

 

Child (under 12)

 

TBD

 

 

Dinner at Hotel, Auction and Raffle

Quantity

Cost

Subtotal

 

Fried Catfish Adult

 

$40

 

 

French Cut Grilled Pork Chop Adult

 

$40

 

 

Vegetable and Wild Mushroom Risotto Adult   

 

$40

 

 

[indicate meal choices] Child (under 12)

 

$25

 

FRI

4/18

Option (A) Two Plantations Tour w/Lunch

Quantity

Cost

Subtotal

 

Adult

 

$115

 

 

Child (4-12)

 

TBD

 

 

Option (B) Swamp Tour (Lunch not included)

Quantity

Cost

Subtotal

 

Adult

 

$50

 

 

Child (4-12)

 

$35

 

 

Formal Dinner at Hotel, Memorial and Tribute

Quantity

Cost

Subtotal

 

Herb Marinated Chicken Breast Adult

 

$40

 

 

Pecan Crusted Gulf Fish Adult

 

$40

 

 

Fettuccini Pasta with Sun Dried Tomatoes Adult

 

$40

 

 

 [indicate meal choices] Child (4-12)

 

$25

 

                           Total Enclosed ___________________

Send check payable to 492nd Bomb Group – No later than March 10, 2014 to:

Fran Gramberg
7025 West Bruns Road
Monee, Illinois  60449

Fran’s Phone:  708.670.8084                               Fran’s Email:  fgramberg@msn.com