Please read carefully, fill out legibly and completely, copy for your files and submit early!!!!
Member (Full)Name_________________Rank_________
Service__________
Mailing Address (include Zip)_________________________________________
Email:_______________________________
Phone:______________________
Chapter_______________________ Current Office Held_______________________
Spouse/Guest(s)___________________________________________________________
Convention Badge Name (Member)___________________________________________
Spouse/Guest(s)___________________________________________________________
Event/Item Per-Person Cost Number Attending TOTAL COST
PRELIMINARY CONVENTION INFORMATION AND SET FEES
Registration $20 _____________ $_____________
President’s Reception $25 _____________ $_____________
All Hands Breakfast $25 _____________ $______________
Memorial Service n/c
FCOC Annual Meeting n/c
Seminars (2) n/c
Luncheon $25 ______________ $____________
Military Ball $50 ______________ $____________
Meal choice for Military Ball _________Sirloin________ Chicken ________ Fish
Tours:
Please indicate number
LeBarge Bay Cruise ________ $25 $_______
Ringling Circus Museum ________ $25 $________
Departure times for each event will be announced at the convention upon check-in
Convention Shirt (Order now, receive at convention or pay extra $5 for mailing) $30 each
Circle size/Number: Ladies: __ SM __ M __ L ___ XL
Men: __ SM __ M __L __XL __ 2XL $____________
TOTAL CONVENTION FEES…………………………………………….$________
The Hyatt Regency, Sarasota- A non-smoking facility-Room Reservations @ $115/night, save 12% Tax by making reservations through FCOC Convention 2013
I wish to reserve a room for ____Friday 7 June, _____Saturday 8 June,______ Sunday 9 June
_____2 double beds _____1 king bed Number of people in room________ Total Nights______
Special needs_________________________________________________________________
TOTAL ROOM COSTS…………...………………………..$__________________________
Total Convention Fees………………….….....…...........….$__________________________
Total Room Costs….…………………………………..….$__________________________
GRAND TOTAL…………...………………….……………..$__________________________
(When your check and registration forms are received, the Sarasota Chapter will confirm your reservation(s) via email or US Mail)
* Arrange hotel through Sarasota Chapter group reservation-save 12% in room taxes
* A per-person surcharge of $10 will be added if attending only one event, e.g. the Military Ball
* Make check payable to MOAS/FCOC-Convention 2013.
* Dress: Convention: Florida Casual Military Ball : Formal
* RESERVE ASAP FOR DRAWING FOR FREE ROOM NIGHT-FIRST 45 REGISTRATIONS
Mail Check and completed Registration form to:
FCOC Convention 2013
P.O. Box 50974
Sarasota, FL 34232
Comments/Questions/Special Instructions
