Reunion Registration

Last Name _______________________ First Name _____________________ Last Grade ___________

 Spouse Name _____________________

 Street ______________________________ City ______________________ State _____ ZIP _________

 Phone _______________________

 E-mail _____________________________________

 Brigade Unit ___________________________________________________  Dates _________________

                                    (Include Company and Battalion)

 

 Component    (  ) Active Duty          (  ) Retired           (  ) Discharged           (  ) Reserve          (  ) Civilian 

 Sex                (  ) Male                    (  ) Female

 Hotel Reservation made?   (  ) Yes     (  ) No      Hotel Name:_____________________________________

 Association Member $100.00  (   )

 Non Member             $115.00  (   )  Includes one year membership in the Association

 Spouse or Guest       $100.00  (   )

 

Don’t forget to make your reservations at the Crystal City Marriott

    Phone:     (703) 413-5500

    Web:        http://marriott.com/property/propertypage.mi?marshaCode=WASCC

Send check with registration to:

1st Signal Brigade Association
  P.O. Box 212
  Springfield, VA 22150

Updated:    01 Aug 2006                                                                                                    

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