REUNION REGISTRATION

PLEASE PRINT CLEARLY

Your Name                                                                                                      

Spouses First Name                                                                                         

Address                                                                                                          

City                                                                                                                

State               Zip Code                      Telephone                                             

Fax                                           E-mail                                                            

Your Web site                                                                                                 

Dates Served WWII                           Dates Served Korea                            

Dates Served Vietnam                           Other Dates Served                            

Rate                           Rank                           Division                       

The cost of the reunion is $150.00 per person.

Please send payment to;  

Steve  Wamsley

191 Strickland Road

Piketon, Ohio 45661