USS VON STEUBEN SSBN 632 REUNION
22-24 March 2016 Las Vegas, NV
Registration Form

USE BACK OF FORM IF NECESSARY

Name:___________________________________


Address:_________________________________


________________________________________


City:_________________State:____ZIP________


Telephone _______________________________


E-mail:__________________________________
Crew: (circle appropriate) BLUE GOLD
Which years were you aboard:_________________
Special Needs:

Reunion Fee = # attending ________ X $65 = $________

Names:


 
Print and Mail Payment To:
Von Steuben Reunion
c/o George Scharf
2131 Elm Village Drive
Summerville, SC 29486
Make check or money order payable to Von Steuben Reunion
DO NOT SEND CASH.
 DEADLINE FOR REUNION IS 19February 2016

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