FIRST MAW ASSN.- VIETNAM SERVICE REUNION '05

REGISTRATION FORM

Name:___________________________________________________   _______________________________

(Last)(First)         (MI)        (Unit(s) "In Country"

Name of Spouse / Child / Guest:  _____________________________________________________________

Address:  _________________________________________________________________________________

(Street or PO Box)(City)(State)(Zip Code)

Phone Number including Area Code:  ___________________ Email Address:  _______________________

Registration:  Number of attendees:  _____      X     $125     =           $  __________

Dinner/Dance: Number of attendees: _____      X     $ 52      =          $  __________

Farewell Breakfast: Number of attendees  _____      X     $ 20      =          $  __________

*Reunion T-Shirt:                                     _____      X     $ 18     =          $  __________

Membership Dues (if applicable)                      $ 25     =          $  __________

                       TOTAL      $ __________

*SHIRT SIZE ________ (S, M, L, XL, etc).  Reunion T-Shirts must be ordered in advance. Please indicate size(s) you wish to order. No exchanges will be provided. Reunion registration must be received no later than Oct. 1, 2005 to guarantee shirt delivery.

*Participation at National Reunions is intended for 1st MAW Members, their families, and guests.  If you have not renewed your membership or are not a member, please include $25 with your registration for annual membership dues.

First Marine Aircraft Wing Association-Vietnam Service

PO Box 3532

Allentown, PA 18106-0532

CLICK HERE FOR A REGISTRATION FORM IN WORD FORMAT