Pre-Registration form
1st Annual Descendants Group Convention
Honoring the American Defenders of Bataan & Corregidor
Grand Sierra Resort and Casino, Reno, Nevada
April 7 - 11, 2010

Registration will be a little different this year. You will need to pre-register and submit payment in advance.  To pre-register, make a copy of this form, complete the form and mail or e-mail it to the address shown at the end of the form. You may submit payment by mail or by using PayPal and your credit card. Early Bird convention registrations and hotel reservations must be received no later than March 6, 2010.  Badges, banquet tickets and other convention materials will be available in the Descendants Group Registration room upon arrival.  It will still be necessary to obtain your banquet seating when you arrive.  Limited on-site registrations will be accepted.

To reserve your hotel room, contact the Grand Sierra Resort and Casino at 800-648-5080.  The Grand Sierra must receive your hotel room reservation no later than March 6, 2010.

PLEASE REGISTER THE FOLLOWING PEOPLE:

Have you ever attended an ADBC convention?  Yes  No (circle one)  If yes, when was the last time? _________

        Former POW – ADBC member
(PLEASE PRINT)
First Name:____________________________________ M.I._____ Last Name ___________________________
Nickname: (submit if you want it on the badge) _____________________________________________________
Spouse: __________________________________________________________________________________ 
Address: _________________________________________________________________________________
City: ___________________________________________________ State: _____________ Zip: ____________
Phone Number:_______________________________ E-mail address: __________________________________
Your unit in the P.I. : _________________________________________________________________________
Name of one POW Camp to go on name tag: _______________________________________________________

List of persons accompanying the ADBC member (IF NECESSARY, PLEASE CONTINUE ON ANOTHER SHEET.)

Full Name (PLEASE PRINT)                                        Address                                                              Relationship to POW
___________________________________      ________________________________     ________________
___________________________________      ________________________________     ________________
___________________________________      ________________________________     ________________

        DESCENDANTS/RESEARCHERS/FRIENDS/GUESTS
(PLEASE PRINT)
First Name: ___________________________________ M.I._____ Last Name: __________________________
Nickname: (submit if you want it on the badge): ____________________________________________________
Address: _________________________________________________________________________________
City: ______________________________________________________ State: _____________ Zip: ________
Phone Number: _______________________________ E-mail address: _________________________________
Full name of former POW relative/friend: _________________________________________________________
Your relationship to former POW and unit in P.I.: ___________________________________________________

List of persons accompanying you: (IF NECESSARY, PLEASE CONTINUE ON ANOTHER SHEET.)

Full Name (PLEASE PRINT)                                 Address                                                                    Relationship to POW
_________________________________    __________________________________    _________________
_________________________________    __________________________________    _________________
_________________________________    __________________________________    _________________

REGISTRATION FEE: Please check one of the four boxes below to state the type of registration

  NOTE: To use PayPal to pay your Registration and Banquet Fees with your credit card, use the PayPal "buttons"
you see in the text below.  You DO NOT need to have a PayPal account to pay by credit card.  As you will see below,
you may use this opportunity to pay DG-ADBC annual dues and to make a donation to the DG-ADBC.

Former POWs and wife:  No charge for registration!                          X __________ person  =  No Charge

Widows:  No charge for registration!                                                                        X one person = No Charge

Early Bird: $25 per person (on or before March 6, 2010)                  X __________ persons  =  $ _______________

       

Late Registration: $30 per person (received after March 6, 2010)  X __________ persons  =  $ _______________

       

Banquet Fee, Saturday, April 10, 2010:  $40 per person                         X  __________ persons  =  $ _______________

       

Descendants Group Annual Dues:
If you are a DG-ADBC member and have not already paid you 2010 Membership Dues, you may take care of that now.  Either enter the amount of $25.00 on the next line and include it in the "Total Enclosed" or use the PayPal button.
                                                                                                                                                 Annual Dues   = $_______________

       

Donation to the DG-ADBC?
Would you like to make a donation to the Descendants Group, an Auxiliary of ADBC?   If so, enter the amount you will include in your check or use the "Donate" button to add the donation to your PayPal "Shopping Cart".
                                                                                                                                                      Donation   =   $ ______________

Use quantity to get amount

                                                                                                                                      TOTAL ENCLOSED:  $ _______________

If you are using PayPal, click on the "View Cart" button below and verify that the correct items and quantities are shown.  Make corrections and hit the "Update Cart" as necessary.  When the entries are correct, use the "Proceed to Checkout" button to provide your credit card information and complete payment.

No matter how you pay, mail or e-mail your completed registration form to:
        Descendants Group
        c/o Judy Pruitt
        25 Windsor Road
        Brookline, MA 02445-2110
        E-mail address: pruittja13@aol.com
    Include your check for the total amount due unless you used PayPal for payment.
    If you have questions, contact Judy Pruitt by e-mail at pruittja13@aol.com.