USS RICH
(DD/DDE 820)
   

OFFICIAL REUNION 2002 REGISTRATION FORM
 
NAME: ______________________________________________________________________________
MAILING ADDRESS: _________________________________________________________________
TELEPHONE: _____________ EMAIL: __________________________
RATE/RANK WHILE ABOARD: _____________    TOUR DATES: __________________________
CURRENT ASSOCIATION MEMBERS  (Please Print)
NAME ___________________________________ @$60= ________
GUEST ___________________________________ @$60= ________
GUEST ___________________________________ @$60= ________
[Breakfast and Lunch: On Your Own]

Sub Total "A"

 ________
NON-MEMBERS  (Please Print) (*See note under Membership Renewal)
NAME ___________________________________ @$80= ________
GUEST ___________________________________ @$60= ________
GUEST ___________________________________ @$60= ________

Sub Total "B"

 ________
MEMBERSHIP RENEWAL
Annual Membership (April 2002 to March 2003) @$15= ________
 

 Sub Total "C"

 ________
You may become an Instant Member by joining here and avoiding the Reunion non-member sir
charge.  Complete sections A and C (and B if applicable).  Welcome Aboard!

Sub Total "A"
Sub Total "B"
Sub Total "C"
Total Amount Enclosed
________
________
________
________
Please indicate if you are bringing an article for:

_____

  Raffle:

Describe:

 ________________________________________________

_____

  Auction:

Describe:

 ________________________________________________

>>> Mail your check and this form to: <<<

Walter Becker, Treasurer
USS Rich (DD/DDE820) Association
1102 Wedgewood Lake Road
Stroudsburg, PA 18360-8733