USS Galveston 2011 Reunion Activity Payment Form

Print, Fill-In & Mail completed form along with check to address below:

Full Name: .. Name Spouse(if attending)

Year(s) aboard the Gal: .... Rating/Rank

Address: Street Apt#

City , State , Zip

Email Address: ... Phone:

 

Activity Description

Cost Each

QTY
ordered
Total
Friday, Sept 23, 2011 Reunion Dinner
$33
 
$
Thursday, September 22, 2011 tour to Niagara Falls
$54
   
Friday, September 23, 2011 the tour to our Sister Ship the
USS LITTLE ROCK CLG-4
$11
   


Total Payment

   
$


payable to USS Galveston Shipmates Association TO:

Thomas (Soupy) Campbell
310 Monroe Ave
Beverly, NJ 08010-1822

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