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VON STEUBEN SSBN 632 REUNION 25-29 March 2009 Jacksonville, FL Registration Form USE BACK OF FORM IF NECESSARY |
| Name:___________________________________ Address:_________________________________ ________________________________________ City:_________________State:____ZIP________ Telephone _______________________________ E-mail:__________________________________ Crew:(circle appropriate) BLUE GOLD Years aboard:_________________ Special Needs: |
| Reunion
Fee = # attending ________ X $70 = $________ Names: King's Bay Tour (26 Mar) (There are only 88 spaces available and will be filled as registrations are received. Information below is required for security checks for tour.) Must be at the Holiday Inn by 0700 on 26 Mar for tour. Name:_____________________ Date of Birth____________ SSN_______________ Name:_____________________ Date of Birth____________ SSN_______________ Name:_____________________ Date of Birth____________ SSN_______________ Name:_____________________ Date of Birth____________ SSN_______________ Tour Fee = # attending tour______ X $25 = $________ Total =
Reunion Fee + Tour Fee = $___________
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| Print
and Mail
Payment To: Von Steuben Reunion c/o George Scharf 2131 Elm Village Drive Summerville, SC 29483 Make check or money order payable to Von Steuben Reunion DO NOT SEND CASH. DEADLINE FOR TOUR IS 20 JAN 2009. DEADLINE FOR REUNION IS 1MAR 2009 |