Please complete and return this Form to:

John Flage,
11 Karangi Place
Rockingham, WA 6168

Please forward cheques / money orders to John Flage made payable to: “DARCOMCREW”. Cost for the Reunion is $70 per head. In order to pay venues in advance and statisfy Base Security requirements, this form and monies must be received no later than COB 18 June 2004. ACKNOWLEDGEMENT(Delete which is not applicable)

I WILL / WILL NOT BE ATTENDING THE 2004 CREW REUNION
MY PARTNER WILL / WILL NOT BE ATTENDING THE 2004 CREW REUNION

NAME:___________________________________________

PARTNER (If Applicable) ________________________________________________

CONTACT PHONE #:_________________________________________________

MOMENTOS

REUNION POLO SHIRTS REQUIRED Number (how many) 1 2 3 4 5

(circle required sizes) S / M / L / XL / XXL / XXXL

POLO SHIRT COST $40 - Check the website for details.

ACTIVITIES

I / WE WILL BE ATTENDING ( CIRCLE IN THE APPROPRIATE PLACE)

FRIDAY 2000 – 2230 MEET & GREET YES / NO (Informal event)
SATURDAY 1230 – 1600 BBQ LUNCH / SHIP TOUR YES / NO
SATURDAY 1830 - 2100 SHIP RECEPTION YES / NO
SUNDAY 1100 – 1500 FAREWELL LUNCH YES / NO

The Website will be updated as well as a personal email and/or letter despatched to detail rendezvous points, times and any other information as it comes to hand.

TRANSPORT

I / WE WILL REQUIRE TRANSPORT TO THE BBQ AT HMAS STIRLING YES / NO

I / WE WILL REQUIRE TRANSPORT TO THE RECEPTION ON HMAS DARWIN YES / NO
My Registration cheque for $............................ is enclosed.

My Memorabilia cheque for $............................is enclosed.

Signed...............................................................................