NNWA - Annual Reunion Registration Members Name:(Required) First Last Mambers Dinner Choice Beef Chicken Fish Address:(Required) Street Address Address Line 2 City State ZIP / Postal Code Phone Number:(Required)Email Address:(Required) Emergency Contact Name:(Required) First Last Emergency Contact Phone Number:(Required)Are you on the Board?(Required) Yes No Position:(Required)Hometown:Spouse's Name (if attending): First Last Spouse's Dinner Choice Beef Chicken Fish Additional Guests Names (please include dinner selection for each):Number of Beef Dinners for GuestsNumber of Chicken Dinners for GuestsNumber of Fish Dinners for GuestsNNWA Registration Fee: Quantity Price: $15.00 Quantity If your dues are not up to date (see website roster): Quantity Price: $15.00 Quantity Meet & Greet Sunday: Quantity Price: $5.00 Quantity Tour SelectionTour #1 Quantity Price: $80.00 Quantity Monday Nov 2, National Museum of Nuclear Science & History. Catered BBQ lunch at New Mexico Veterans Memorial and Memorial dedication ceremony $80 per person (9am-4pm) Tour #2 Quantity Price: $78.00 Quantity Tuesday Nov 3, The Atomic City: Los Alamos Bus ride on one of the most scenic drives out of Santa Fe, visit 2 museums, including the Bradbury Science on the way back to the hotel we will stop in one of the casinos for a 60-90 minute rest/ lunch (buy your own meal) $78 per person 10:30am-4pm) Tour #3 Quantity Price: $104.00 Quantity Wednesday Nov 4, Treasures and traditions: A grand tour of NM and the southwest, Petroglyph Park, Acoma (Sky City) 900’s AD, Lunch at the café and visit museum and gift shop $104 per person (8am-3pm)DINNER/ DANCE THURSDAY NOV 5 Cocktail hour will run from 6pm-7pm. Dinner will start at 7pm, dancing and entertainment to follow.DINNER CHOICES All meals include salad, dinner roll, seasoned vegetable medley, appropriate starch chef’s choice, dessert, iced tea and coffee serviceBEEF ENTRÉE Quantity Price: $50.00 Quantity Grilled Flank Steak seasoned and served with Au Jus.CHICKEN ENTRÉE Quantity Price: $50.00 Quantity Bone in Uptown Farmers Market Chicken Roasted, herb. Marinated chicken breast with a Tangy Glaze.FISH ENTRÉE Quantity Price: $50.00 Quantity Grilled Salmon, seasoned with lemon and dill.Total Payment MethodPayPal CheckoutCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name