Registration Form

Registration Form

Please use the form below to register for the 2012 reunion. We will endeavor to response within two working day. If a response is not received within 5 days please inquire at 2012reunion(at)usstiru.org.

Please type your information in the boxes below. Details on menus will be found on the Reunion Menu page. Personal information you provide will be considered confidential and will not be disclosed to anyone outside of Tiru's 2012 reunion organization without your prior permission. If you do not want to be included on mass reunion related emails please indicate.

(click here for details on available and proposed tours)

If you wish to register by mail/fax or for other questions, contact:

Gary Grimes
8550 Fisher Woods Drive
Lorton, VA, 22079
(703) 550-8722 2012reunion(at)usstiru.org (email)


Registration Form Your Name: Your Email Address: Your Mail Address (street/city/state/zip): Your Phone: Number Attending: Estimated Arrival Date/Time: Name on Name Tag: Which years were you on Tiru (for Name Tag): Name on Spouse/Guest Name Tag: Shirt Size: Permission to send reunion related emails (yes/no): Banquet Menu (choice of Prime Rib or Fisherman Platter) - Enter your choice - Enter your mate's choice Number going on Harbor Tour with Lunch (additional $51 per person) Number going to Early Bird dinner on Wednesday (not included in fees) Message: After selecting "Send", please wait until you see the Contact Acknowledgement Page before continuing. The Form takes a few seconds to process by the host. We have experienced occasional problems with this form--if you do not receive a reply within 48 hours, please send email to webmaster(at)usstiru.org. Your name should also appear on the attendees page with 3 to 4 days.