Last Updated July 25,2010

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  USS ARLINGTON 9^th Annual Reunion  Registration Form

Name: _________________________________ Rank:_________ Yrs on AGMR-2__________

                                                                                                                       (example    65-67)

Address: _____________________________________________________________________

Phone: ___________________________email:_______________________________________

Guests:  _____________________/__________________________/______________________

                     (If more than 3 guests, write names in empty space on bottom of this form)                     

(Note: even though the Vet Museum Admission is paid at the Museum, we

  still need to know how many are going to attend. Please write the number).

**** No Registration Fee will be required for kids or grandkids under 18

Special Handicap Needs: ______________________________________________

                                                        (Wheel Chair, etc….)

Yes, I will have a car or van at the reunion and will be able to car pool attendees to the

 Veterans Memorial Museum.      CAR_________    VAN ________

                                                               Please Check type of vehicle

Complete this Form and write a Check or Money Order, payable to:

                        USS ARLINGTON ASSOCIATION

Mail this form and check to:  KEN COX, 104 WINTERDALE DR., LAKE ALFRED, FL 33850

If you have any questions contact Ken by Phone:  863-307-3187 or email kcox@tampabay.rr.com 

Make Checks or Money Orders payable to: USS ARLINGTON ASSOCIATION

Mail Forms and Payment to:        

KEN COX   104 WINTERDALE DRIVE   LAKE ALFRED, FL   33850