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USS Canopus 2023

October 2-6 in Washington DC!

Registration Information

Attendee #1 *

Years Served / Rank-Rate

Years Served

Rank / Rate

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Attendee #2

Attendee #3

Attendee #4

Contact Information

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Email *

Phone

Address

Address Line 1

City

StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Accommodations

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Does anyone in your party use any of the following?

• Scooter
• Cane / Walker
• Wheelchair
• Other

Is everyone on this registration form able to do steps onto a bus? *

• Yes
• No
• Someone needs assistance

If you answer anything other than Yes, please specify who your answer applies to in the Notes section.

Please list any dietary restrictions here: *

Please enter any other special notes below

Activity Selections

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Attendee #1 Signup *

• Registration Fee – $ 50.00
• Udvar-Hazy Center – $ 0.00
• Wed. Bus ONLY – $ 35.00
• Wed. Arlington Trolley Tour – $ 30.00
• Wed. BBQ Dinner – $ 0.00

Attendee #3 Signup

• Registration Fee – $ 50.00
• Udvar-Hazy Center – $ 0.00
• Wed. Bus ONLY – $ 35.00
• Wed. Arlington Trolley Tour – $ 30.00
• Wed. BBQ Dinner – $ 0.00

Attendee #2 Signup

• Registration Fee – $ 50.00
• Udvar-Hazy Center – $ 0.00
• Wed. Bus ONLY – $ 35.00
• Wed. Arlington Trolley Tour – $ 30.00
• Wed. BBQ Dinner – $ 0.00

Attendee #4 Signup

• Registration Fee – $ 50.00
• Udvar-Hazy Center – $ 0.00
• Wed. Bus ONLY – $ 35.00
• Wed. Arlington Trolley Tour – $ 30.00
• Wed. BBQ Dinner – $ 0.00

Total

$ 0.00

Vivid Planning Co. will send an invoice via PayPal to the email listed above. Payment will be accepted both online and over the phone. Reunion registration must be paid in full by September 1, 2023. *

• I understand

Submit

To provide the best service for our customers, Vivid Planning Co. cannot accommodate registrations received after September 1, 2023. Thank you for understanding.