Make all checks payable to:
USS BREMERTON Reunion Org., Inc.; mail them to Norma Polanowski (see
below)
A. CURRENT MEMBERS:
DUES STATUS:
See last
Newsletter (ie, June 2007) mailing label
for your current dues status!
NAME: (Pls print)
__________________________________________________________________
1. DUES: ________ 1
year
$10.00
DONATIONS:
__________ For the General Fund
________ 2
years
$20.00
__________ For
Donation for Flags
________ Paid Up For
Life (PUFL) $100.00
__________ To "Help a Shipmate"
Fund
(To attend
Reunions)
2. CHANGE OF ADDRESS?:
If you've
moved or plan to move please let us know your new address, etc.
New Address
__________________________________
YOUR COMMENTS:
(Street and /
or PO Box)
_____________________________________________
(City, State
& ZIP Code)
Telephone No.
_________________________________
E-Mail Address
________________________________
B. NEW MEMBERS: Dues are
as shown
above. Voluntary donations as indicated above are also
welcome.
NAME
______________________________________
I served aboard USS BREMERTON ___ CA-130 / ___ SSN-698
between
_________________ and ____________________ in the
Address
______________________________________
Rank or Rating of ______________________________________
.
(Street and / or PO
Box)
in the
____________________________Division/Depaartment.
_____________________________________________
YOUR COMMENTS:
(City, State & ZIP
Code)
C. Please print
out this form, fill
it in and mail it
with your check to: Mrs.
Norma Polanowski, Secretary
USS BREMERTON
Reunion Org., Inc.
5996
County Road 16
Belfast, NY 14711-8787