Navy Seabee Veterans of America, Inc.
Department of Florida 24-26 April 2015
Registration Form for 44th DOFL Convention
Please print or attach return label Spouse/Guest information
Address______________________ Island X-____City______________
City__________________________ if NSVAA member_(Yes) _______
State_______________ZIP_______ Name tag to reqd.______________
Are you bringing a Guest? Guest Name Tag to Read:_______________________________
Phone ___________________________ Is Handicap assistance reqd?_____
Seabee Units (served with)_____________________________________________________
Registration Fee $15.00_________ Guest Registration Fee $ 15.00_______
Number of people Registered________ X $15.00 Registration Fee=____________________
Location & Room Reservations: Location: Holiday Inn Express, 210 Seminole Blvd., Largo, FL 33770, Tel: 727-581-3900 Room rate is $89.00 per night and includes breakfast , Make your reservations now! Daily lunch and dinner for April 24th & 25th is on your own.
Saturday 25 April 2015 Catered Plated sit down Banquet Costs. $25.00 per person X number of persons attending Banquet X 25.00 per person = $_______________________
Cost for Registration ____________+ Banquet __________=Grand Total$______________
Make checks payable to NSVA Island X-11 & Mail to - 2nd. Vice Cmdr. Ernie Nelson, 5142 Endeavour Ave., Dover, FL 33527-5881, Tel: 813-376-0500, email: email@example.com.