LZ DC 25th ANNIVERSARY OF THE WALL NATIONAL REUNION REGISTERATION FORM November 9-12, 2007 Last Name:___________________First Name:______________Nick Name:_______________ Spouse or Guest name:______________________________________________________ Address:_________________________City:_____________________State:______Zip:________ Home Phone:______________Work Phone:___________E-mail:______________________ Military Unit(s)____________-__________Date(s) of Service:____________________ Banquet Meal Selection Beef_______ Chicken_______ Vegetarian________ Please list any special needs_______________________________________________ Friday thru Monday, November 9 to 12, 2007 REGISTRATION FEE: Number of people ___ X $30 = $ ________ (Advance Registration Required) |
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