USS DES MOINES CA-134

REUNION ASSOCIATION

MEMBERSHIP REGISTRATION


 
 

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NAME:

ADDRESS: 

CITY: STATE: ZIP: 

TELEPHONE NO: 

EMAIL ADDRESS: 

DIVISION: DATES ON BOARD: 

If you have a second address, such as one for the winter and one for the summer, we would appreciate knowing that also.
 

ADDRESS: 

CITY: STATE: ZIP: 

If you are currently a member of the Association and have changed your address, telephone number or email address, please complete this form.