NAVAL MINE WARFARE ASSOCIATION

CONVENTION MAY 19 -23, 2007

HOLIDAY INN CHOO CHOO

1400 MARKET STREET

CHATTANOOGA, TENNESSEE 37402

TELEPHONE 1 800 872-2529

REGISTRATION

Members Name ___________________________________ Membership Number ________________________

Address _______________________________________________Phone Number ( ) ____________________

City _____________________________State ___________ Zip _________________________________

Name of Spouse ___________________or Guest ______________________________________________

Extra Guest ______________________________________________________________________________________

Ship or Station ____________________________________________________________________________________

ITEM COST # Persons = SUBTOTAL

Member and Spouse ( or Guest) Registration ___$30.00___X _____________1___________$30.00___

Additional Guests ___________________________$30.00___X _____________________________._____

Banquet Wednesday May 23^th

Steak Au Poivre $26.50___X ____________________________._____

Chicken Florentine in Croute $22.30___X ________________ _______ ___._____

Farewell Breakfast Gardens Restaurant Individual Checks 6:30 AM – 10:00 AM

Raffle Tickets Sheet of Six $5.00 ___X _No. of Sheets _______________._______

$1.00 ___X _No. of Tickets _______________._______

TOTAL _______________._______

Is this your first NMA Convention? Yes / No

Make check ( U.S. Funds ) payable to Naval Mine Warfare Association (NMA)

Send payment and registration to:

John N. Thomas

233 Hawthorn St

New Holland, Pa. 17557-1835

Any Questions Call John N. Thomas ( 717) 355-5595 or Email JNTbomas@comcast.net

Special needs:

Transportation _______________________________________________________________________________

Dietary ________________________________________________________________________________________