PLEASE RETURN THIS PAGE WITH YOUR CHECK (made payable to USS Caloosahatchee Reunion Asso.)
Name___________________________________________
Spouse/Guest__________________________
Address___________________________________________________________________
City/State/Zip_______________________________________________________________
Phone No.____________________________________
E-mail Address_______________________________________________
FRIDAY WASHINGTON, D.C. TRIP $20.00 x ______ = $________________
SATURDAY ANNAPOLIS TRIP $26.00 x ______ = $________________
SATURDAY BANQUET $35.00 x ______ = $________________
TOTAL $_________________
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_______ $30.00 for Dues for the Year 1/1/2005 - 12/31/2005
OR
______$10.00 for Associate Dues for the Year 2005
IN ADDITION
$_______as a donation to the Memorial Plaque Fund.
Comment__________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
mail to:
USS Caloosahatchee Reunion Association
c/o Paul Scheerer
4424 Raspe Ave.
Baltimore, Maryland 21206-1925