Sign up for the USS JAMES K. POLK SSBN/SSN 645 all Crew Reunion

Sign up for the 2010 Jimmy K All Crews Reunion

Complete the following registration form to register for the 2010 reunion:

Name of Registrant: (no special characters such as / & etc)*
Email address:
* Total number in your party	x $25 = $
# of people attending Banquet	x $45 = $
# entered in the Unusual T-Shirt Contest	x $10 = $
# of people for the Shopping Excursion	x $10 = $
# of people for the Float Trip	x $35 = $
# of Lapel Pins you wish to order	x $ 5 = $
# of Sets of 4 Beer Glasses you wish to order	x $ 20 = $
# of Shot Glasses you wish to order	x $ 5 = $
I want to pay my annual dues for years You do not have to be a member of the JKPVA to attend the reunion.	x $30 = $
Total: $
* There is a one time $25 per person donation at registration to cover the hospitality room, bar stock, supplies, clean up, and hors d’oeuvres. This one-time donation covers the expense for the entire reunion period.