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Name:____________________________
Please Print
Check one: Honoree ( ) Branch Retiree ( ) others (
)
Attending with honoree free of charge: spouse ( ) other ( )
Number attending with you at cost: Adults_____ Children_____
Total attendees including yourself:________
Amount of remittance enclosed: Adults ______Children______
Send to PO Box 45, Pennsville, 08070 by April 10
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