Oriskany Reunion Association Membership

Enlist Now!
        ---and see the world

It's a fact...                                                   
   Membership in the Oriskany Reunion Association is just $20 annually to join.
Please print out this blank form and provide the following information:

Name: ______________________________________________________________

Spouse: ____________________________________________________________

Address: ___________________________________________________________


City: ________________________________ ST: ______ Zip: _____________

Telephone: (     ) ___________________________        USN(Ret) _____

e-mail: ______________________________________        USMC(Ret) ____

Homepage: WWW.________________________________   Plank Owner? Yes No

Dates of Service Aboard the "O": _______________ to ________________

Division or Squadron: ______________________________________________

Rank or Rate: ________________________________

Hometown Then: _______________________________

Best Friend aboard: ________________________________________________

Please send the completed form with check or money order for $20.00 to:

   Oriskany Reunion Association
   Lito Puglia, Secretary/Treasurer
   1160 Hooksett Road, Unit 30
   Hooksett, NH 03106-1022

Thanks! for joining us.

Copyright ©2000 Oriskany Museum, Oriskany NY.