______________________________________________________________________________
_______________________
USS FULTON (AS-11) ASSOCIATION 20TH BIENNIAL REUNION
8-12 SEPTEMBER 2021
Rogue Regency Inn, 2300 Biddle Rd.
Medford OR 97504
Reunion and Tour Registration
Please mail this registration form
with your check payable to:
USS FULTON (AS-11) ASSOC (2020)
C/O Richard Hartman, 25 Greenleaves Dr #510, Amherst, MA 01002-2852
Cancellations will be accepted less
a $10.00 processing fee, If written notice (E-Mail OK)
is
received prior to 9 August 2021
(the cutoff date). No refunds after
cutoff date.
Name (please print) :_____________________________________________
First timer? Yes No (circle)
Address:
______________________________ EMail__________________________________
City: _____________________ State:
_________ Zip: _________Phone: ( )_________
Wed, 8 Sep 1700-1900+ Welcome
Reception . . . . . . . . . . . . . .
Complimentary
Thurs, 9 Sep Breakfast, Lunch &
Dinner at the Hotel included with Registration/HotelStay
Fee
9:30-11:00 Memorial Service in the
Hotel
1:00-4:30pm Trolley Shuttles to:
Winery Tasting at Ledger David
Cellars Tasting Room & Scenic Tour $10pp
______
OR Shopping Center & Scenic
Tour . . . . . . . . . . . . . $5pp
_________
OR 9 Holes Golf with Cart Quail
Point GC . . . . . . . . . . $25pp
_________
1700-1900:
Welcome Aboard Dinner Selections
included with Registration Fee: Alaskan Cod Qty ( )
or Chicken Picata
Qty ( )
or Vegetarian Qty ( )
Friday, 10 Sep Breakfast &
Dinner included with Registration Fee
9:30 am – 4:30pm Crater Lake Tour
with Lunch at Crater Lake Lodge . . . . . $50pp
_________
Saturday, 12 Sep Breakfast, Lunch
& Dinner included with Registration Fee
9:30- 11:00 Members General Business
Meeting (Ladies Activity)
Banquet Dinner Selections included
with Registration Fee: NY Strip Steak Qty ( )
or Chicken Marsala Qty ( )
or Vegetarian Qty ( )
INFORMATION FOR NAME TAGS
Your Name
_________________________________ Dates served on Fulton (MM/YY) from _______
to ________
Div/Dept _________________
Spouse/Guest Name ___________________________
Comedy Show after Dinner in the
Sports Bar 8-10pm . . . . . $10pp
_________
Registration Fee for Member . . . .
. . . . . . . .
$175
for Spouse/Guest . . . . . . . .
.$160
__________
TOTAL $ ______________
Hotel Registration – Rouge Regency
Inn & Suites, 2300 Biddle Rd, Medford OR 97504 Phone:
800 535-5805/855 499-0001
Identify yourself, USS FULTON
Reunion. Room rates are $99 + 10.8% tax based on
double occupancy.
(Includes hot breakfast) pickup and
return to MFR Airport. Rates are applicable for 3 days
pre/post based on availability.
Reservations must be made before 8 August 2021.
Complimentary parking.