REGISTRATION FOR
NAVAL MINEWARFARE ASSOCIATION
ANNUAL REUNION 2010
MEMBERS NAME _________________________________________________________________
SPOUSE OR COMPANION
__________________________________________________________
CITY AND STATE __________________________________________________________________
SHIP OR STATION _________________________________________________________________
REGISTRATION FEE
($25.00) PER MEMBER _____ _____
TOUR #1 $65.00 Per person - Check choice -
TOUR #2 TO THE
USS CONSTITUTION $50.00
per person _____
_____
BANQUET $55.00
per person - Check choice- Beef __ Chicken __ Fish ___ _____
_____
GETAWAY BREAKFAST $21.00 per
person _____
_____
RAFFLE (Donations 5 for $5.00 - 10 for
$10.00) _____ _____
TOTAL
= $ _______
Registration for rooms ---- Call 1-617-472-1000
PLEASE MAKE OUT ALL CHECKS TO THE NMA
MAIL TO
JAMES STAPLES
NORWELL
MA. 02061
ANY QUESTIONS
781-878-9424