(Please read the notes at the bottom of the form)
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Name:_______________________________________________
Class:__________
Nickname:______________
Wife’s Name:____________
Address:_____________________________________________
_____________________________________________________
Phone: Home:______________________
Cell:________________________
E-mail address:_____________________
Type of rig:___________________________________________
Hobbies:_____________________________________________
_____________________________________________________
Interests:_____________________________________________
_____________________________________________________
Pets that travel with you:_______________________________
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NOTE: This form is not 'interactive'. Please cut an paste it to an email or print it and mail.
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Email the info on this form or snail mail it to the secretary, Charlie Norton '62, at cknjr@verizon
or at 1724 Glenbrook Ave., Lancaster, PA, 17603-4568.
Send a $15 joinup fee to the treasurer, Glenn Shindler ’64 at 4530 Lasheart Dr., La Canada, CA 91011. Please
make any checks payable to: USNA AA RV Chapter.
The $15 gets you two nametags, two RV Chapter decals for your vehicles, one year’s dues, and a chapter roster.
Let Glenn know what names you want on your nametags. He will order and ship them to you.
