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1 REGISTRATION AND RESERVATION FORM THE AMERICAN LEGION THE AMERICAN LEGION AUXILIARY SONS OF THE AMERICAN LEGION AMERICAN LEGION RIDERS DEPARTMENT OF VIRGINIA CONVENTION JULY 11 14, 2013 Hilton Washington Dulles Airport Park Center Road, Herndon, Virginia PLEASE READ AND FOLLOW THESE INSTRUCTIONS: Requests for accommodations must be received by June 15, The registration fee of $8.00, including persons sharing rooms, Juniors and Sons, must be included. You must be registered to attend any function. RESERVATIONS MUST BE MADE THROUGH THE REGISTRATION COMMITTEE: Ron Miluszewski & Linda Miluszewski (703) REGISTRATION TO ATTEND THE CONVENTION AND EVENTS: (PLEASE TYPE OR PRINT) DISTRICT POST SQDN UNIT NAME: (LEG/AUX/SAL) ADDRESS NAME: (LEG/AUX/SAL) NAME: (LEG/AUX/SAL) CITY STATE ZIP PHONE ( ) NAME: (LEG/AUX/SAL) NOTE: To register additional persons use separate sheet of paper # ATTENDING COST PER PERSON AMOUNT REGISTRATION FEE $8.00 $ (Registration fee not included in the Complete Package) E V E N T S EVENTS # ATTENDING COST PER PERSON AMOUNT THURSDAY NIGHT POOLSIDE PARTY $15.00 $ Banquet Meal Selection FRIDAY NIGHT DANCE $9.00 $ # of Beef SATURDAY BANQUET $35.00 $ # of Fish SATURDAY DANCE $6.00 $ # of Chicken COMPLETE EVENT PACKAGE $60.00 $ (All events $5.00 Discount if purchasing the complete event package Registration fee not included in the Complete Package) TOTAL (REGISTRATION & EVENTS) $ NOTE: Make your check for the events and Registration Fees payable to the 17th DISTRICT CONVENTION COMMITTEE HOTEL RESERVATIONS COMPLETE ONE FORM FOR EACH ROOM REQUESTED Reservations will be on a first come, first served basis. SPECIAL REQUESTS MUST BE IN WRITING DAILY RATE $ % Tax = $ per day. Check in time is 3:00 p.m. Free Parking onsite. NAME ADDRESS NAME CITY STATE NAME ZIP PHONE ( ) NAME Arrival date: Departure date: Handicapped (Y/N) Accommodations: King Bed Double Bed TO GUARANTEE ROOM MAKE SEPARATE CHECK FOR ONE NIGHT S ROOM RATE PAYABLE to HILTON OR GUARANTEE BY CREDIT CARD by completing the following: NAME ON CREDIT CARD ACCOUNT # TYPE OF CARD (VISA, MC, AMEX, ETC) EXPIRATION DATE SIGNATURE MAIL COMPLETED FORMS AND CHECKS TO 17th District Convention Committee Piedmont Vista Drive, Haymarket, VA
2 Past Presidents Parley Luncheon ~ $18.00 Per Person ~ American Legion Auxiliary Department of Virginia Department Convention Hilton Washington Dulles Hotel Friday, July 12, :30p.m. Luncheon Buffet to include: Deli Platter of Roast Beef, Turkey, Ham Assorted Sliced Cheeses Macaroni or Pasta Salad; Crisp Lettuce Sliced Tomatoes; Fresh Onions Assorted Rolls and Breads Potato Chips; Fresh Fruit; Home Baked Cookies Regular and Decaf Coffee; Tea Selection Make Checks Payable to: Dept. Secretary/Treasurer Mail To: Marian Chirichella, 1906 Toyon Way, Vienna, VA RSVP by June 30, 2013 Tickets Distributed at Registration Name: Unit: Address: Phone: No. of Tickets:
3 Hilton Washington Dulles Airport From Baltimore and All Points North From Interstate 95 South merge onto CAPITAL BELTWAY/I 495 W EXIT 27 toward Tysons Corner, VA. Merge onto VA 267 W Dulles Toll Road via exit 45A toward DULLES AIRPORT. From the Dulles Toll Road, take Exit 9A, Route 28 South/Centreville (12 Miles). Exit at McLearen Road, turn left at 1st light on Towerview and make 1st left on Park Center Road. Follow.1 mile, the hotel is on your left. From Richmond and All Points South From Interstate 95 North merge onto Dumfries Road/VA 234 N via EXIT 152 B toward MANASSAS (14 Miles). Turn right onto Liberia Avenue/Prince William Parkway/VA 3000 N (4 Miles). Turn right onto VA 28 N/Centreville Road. Proceed 12.5 miles, exit at McLearen Road, turn left at 1st light on Towerview and make 1st left on Park Center Road. Follow.1 mile, the hotel is on your left. From Interstate 81 and All Points West From I 66 East toward Washington, DC. Merge onto Sully Road/VA Route 28 N via EXIT 53 toward DULLES AIRPORT. Proceed 8 miles and exit at McLearen Road, turn left at 1st light on Towerview and make 1st left on Park Center Road. Follow.1 mile, the hotel is on your left.
4 THURSDAY NIGHT POOLSIDE PARTY July 11, 2013 Time: 6:00 P.M. COST: $15.00 (includes barbeque chicken, hamburgers, baked beans, chips, corn on the cob, Lemonade, iced tea, water, dessert, cheese and wine) Buffet Style and No Take Out Please Raffles 50/50 Door Prizes COME DANCE, SWIM OR JUST RELAX WITH: Cash Bar D.J. MEAN GENE
5 FRIDAY, JULY 12, 2013 AMERICAN LEGION FAMILY HEALTH FAIR TIME: 9:00 A.M. 3:00 P.M. Services to Include: NURSING PATHOLOGY/LAB Blood Pressure, Glucose and HIV and Hepatitis Screening Cholesterol Screening WOMEN S HEALTH BENEFITS VA ELIGIBILITY PULMONARY SERVICE Lung Screening **Look For Signs In Lobby For Location**
6 Yee Haw!! Git out yer best formal country duds and come join yer fellow delegates, members and guests for Ike s Hoedown and country style DJ & Karaoke Party Friday July 12, 2013 Time: 8:00-11:00 PM Price: $9.00 per person featuring Country Joe Clay Northern Va s Favorite KJ/DJ Door Prizes Dancing Special Prizes for best country duds Male/Female/Couple Department of Virginia 2013 Dept Convention At the Hilton Washington Dulles Hotel Cash Bar Free Snacks
7 The American Legion Department of Virginia 2013 Department Convention Hilton Washington Dulles Airport Park Center Road Herndon, Virginia Saturday July 13 th, 2013 Hotel Parking Lot from 9:00am to 4:00pm The handicapped-accessible* full service office-on-wheels is equipped to process all DMV transactions including: Apply for or renew your ID card - available for adults and children. Apply for or renew your driver's license - take road and knowledge tests; get your picture taken. Reinstate driving privileges. Apply for a Veteran ID card. (Remember to bring a copy of your DD214!) Get a copy of your driving record. Obtain vehicle titles, license plates, decals, transcripts. Order disabled parking placards or plates. Get fishing and hunting licenses. Recently moved? If so, stop in to update your address on your DMV record. You can also update your voter registration address and organ donor status. Request a Personal Identification Number (PIN) to set up a my DMV account - receive DMV notices via or phone; conduct secure transactions on the DMV website. Search for other state services through a wireless Virginia Internet portal. And much more!
8 The American Legion Department of virginia l a u n An t e u q Ban HILTON WASHINGTON DULLES SATURDAY, JULY 13, 2013, 7 P.M. COST: $35.00 Your choice of beef, chicken or fish. Gluten free and vegetarian plates are also available. Drawings for: Multiple Door Prizes A Rossi M92 Rifle or $2,000 Diamond bracelet and earrings Contact Ron Miluszewski, Convention Committee Chairman ( ronski139@comcast.net ) for any special meal requests
9 COME KICK UP YOUR HEELS & HAVE FUN! SATURDAY NIGHT DANCE JULY 13, 2013 TIME 9: :00 PM 12:00 AM COST $ CASUAL DRESS FEATURING THE MUSICAL DJ DOOR PRIZES JIM HOUSTON 50/ /50 RAFFLE CASH BAR
10 Visit the National Air and Space Museum Steven F. Udvar Hazy Center while attending the Department Convention. Free shuttle service to and from hotel available for guests staying at the hotel. The Steven F. Udvar Hazy Center near Washington Dulles InternationalAirport isthecompanion facilityto to themuseum on the National Mall. The building opened in December, 2003, and provides enough space for the Smithsonian to display the thousands of aviation and space artifacts that cannot be exhibited at the Museum in Washington, DC. The two sites together showcase the largest collection of aviation iti and space artifacts t in the world.
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