USMA Class of 1968

REUNION REGISTRATION FORM

 

 

Name:   ________________________________________

 

 

Wife/Guest(s) Name(s):   ___________________________

 

                                         ___________________________

 

                                         ___________________________

 

 

 

Home Address:    __________________________________

 

                             __________________________________

 

                             __________________________________

 

 

Email Addresses:     __________________________________

 

                                __________________________________

 

 

Phone Number:    (Home):  (_______)___________________

 

                             (Work):    (_______)___________________

 

 

Cadet Company Firstie Year:   ____________

 

 

 

 

Mail this completed registration form together with your $100.00 registration fee to:

 

Dutch Hostler

98 Chestnut Hill Road

Ridgefield, CT 06877-1224

 

Or register and pay on-line at:

https://www-secure.west-point.org/usma1968/reunion

 

 

 

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