Iwo Jima Association Of America Reunion 2024 ACTIVITY REGISTRATION FORM CUT-OFF DATE IS 1/25/24 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Are you a member of Iwo Jima Association of America? *YesNo – Click here to become a memberName *FirstLastSpouse Name (If Attending)Guest NamesLayoutPhone *Email *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDisability / Dietary RestrictionsHydraulic LiftMust you be lifted hydraulically onto the bus while seated in your wheelchair in order to participate in bus trips? (Please note that we cannot guarantee availability)LayoutEmergency Contact Name *Emergency Contact Phone *LayoutArrival Date *Departure Date *AccommodationsAre you staying at the hotel?Friday, Feb 16 – Bus Tour to National Museum of The Marine Corps, Wreath Laying at WWII Memorial and Wreath Laying at USMC War Memorial 0 Attendees – $ 0.00(1) Person – $ 45.00(2) People – $ 90.00(3) People – $ 135.00(4) People – $ 180.00(5) People – $ 225.00(6) People – $ 270.00(7) People – $ 315.00(8) People – $ 360.00(9) People – $ 405.00(10) People – $ 450.00(11) People – $ 495.00(12) People – $ 540.00Saturday, Feb 17: Symposium Lunch – 1 Entrée Buffet0 Attendees – $ 0.00(1) Person – $ 40.00(2) People – $ 80.00(3) People – $ 120.00(4) People – $ 160.00(5) People – $ 200.00(6) People – $ 240.00(7) People – $ 280.00(8) People – $ 320.00(9) People – $ 360.00(10) People – $ 400.00(11) People – $ 440.00(12) People – $ 480.00Saturday, 2/17: Banquet– Choose your entrées for your attendees:– Includes Valet Parking for the Evening and 1 Drink TicketSaturday, 2/17: BanquetA 3.5% convenience fee will apply for all credit card payments. All registration forms and payments must be received by mail on or before January 25, 2024.Herb Marinated Flat Iron Steak– Choose –1 Entree – $ 95.002 Entrees – $ 190.003 Entrees – $ 285.004 Entrees – $ 380.005 Entrees – $ 475.006 Entrees – $ 570.007 Entrees – $ 665.008 Entrees – $ 760.009 Entrees – $ 855.0010 Entrees – $ 950.0011 Entrees – $ 1,045.0012 Entrees – $ 1,140.00Seared Free Range Chicken Breast– Choose –1 Entree – $ 95.002 Entrees – $ 190.003 Entrees – $ 285.004 Entrees – $ 380.005 Entrees – $ 475.006 Entrees – $ 570.007 Entrees – $ 665.008 Entrees – $ 760.009 Entrees – $ 855.0010 Entrees – $ 950.0011 Entrees – $ 1,045.0012 Entrees – $ 1,140.00Vegetarian Entree– Choose –1 Entree – $ 95.002 Entrees – $ 190.003 Entrees – $ 285.004 Entrees – $ 380.005 Entrees – $ 475.006 Entrees – $ 570.007 Entrees – $ 665.008 Entrees – $ 760.009 Entrees – $ 855.0010 Entrees – $ 950.0011 Entrees – $ 1,045.0012 Entrees – $ 1,140.00Fish Entree– Choose –1 Entree – $ 95.002 Entrees – $ 190.003 Entrees – $ 285.004 Entrees – $ 380.005 Entrees – $ 475.006 Entrees – $ 570.007 Entrees – $ 665.008 Entrees – $ 760.009 Entrees – $ 855.0010 Entrees – $ 950.0011 Entrees – $ 1,045.0012 Entrees – $ 1,140.00Do you want to make a donation?YesNoDonationNumber of Iwo Jima Veterans attending: *Registration for spouses, family, guests and supporters0 Guests – $ 0.00(1) Guest – $ 15.00(2) Guests – $ 30.00(3) Guests – $ 45.00(4) Guests – $ 60.00(5) Guests – $ 75.00(6) Guests – $ 90.00(7) Guests – $ 105.00(8) Guests – $ 120.00(9) Guests – $ 135.00(10) Guests – $ 150.00(11) Guests – $ 165.00(12) Guests – $ 180.00A 3.5% convenience fee will apply for all credit card payments. All registration forms and payments must be received by mail on or before January 25, 2024. For refunds and cancellations please refer to our policies outlined at the bottom of the reunion program. CANCELLATIONS WILL ONLY BE TAKEN MONDAY-FRIDAY 9:00am-5:00pm EASTERN TIME (excluding holidays). Call 703 212-8128 to cancel reunion activities and obtain a cancellation code. Refunds processed 4-6 weeks after reunion. Information about hotel accommodations at the Hilton Arlington National Landing can be found here.Total$ 0.00Square *CardName on CardSubmit and Charge Payment
