READING, PA 19612-2132

UNITED STATES SUBMARINE VETERANS INC.

DISTRICT 2 CONVENTION

OCTOBER 28, 2006

REGISTRATION FORM

NAME:____________________________________NAME ON TAG(S)____________________________

SPOUSE/GUEST NAME(S):________________________________________________________________

ADDRESS:________________________CITY:__________________STATE:___________ZIP:_________

PHONE:(___)___________________EMAIL:_______________________________

EARLY WELCOME ABOARD PARTY (DONATIONS APPRECIATED)_______FRI. OCT. 26, 2006.   ( 6 TO 10 P.M. )

( YOU PAY FOR YOUR OWN MEALS )

 REGISTRATION FEE - $ 10.00 PER MEMBER_________________________

 SATURDAY’S LUNCH - $ 10.00 PER PERSON_________________________    (11:30 - 12:30)

50/50 RAFFLE $1.00 EACH / 6 FOR $ 5.00————————————-

DOOR PRIZE $1.00 EACH / 6 FOR $ 5.00 _________________________

 TOTAL ENCLOSED $________________________

MAKE CHECK PAYABLE TO USSVI READING BASE

MAIL APPLICATIONS AND CHECKS TO: READING BASE SUBMARINE VETERANS

RAYMOND J. SHUGAR

P.O. BOX 12132

READING, PA 19612-2132

MAKE YOUR OWN HOTEL RESERVATION: See Attached for Information

For reference only: I have a room reserved ____________ yes or no