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 $_________________

======================================================================

_______ $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

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