Birthday Luncheon Mail In Reservation Form

Please fill-in this form, print it it out and mail with your remittance.

 

$45 per head. Make check payable to “USMCCCOK” and mail to USMCCCOK, 1420 Evergreen Circle, Midwest City, OK 73110 to arrive by October 25, 2024.

 

Name:
 

 

Address:
 

City/State/Zip:
 

 

Email Address:
 

 

Name Tag Name:
 

 

Name Tag USMC Connection:

 

Name Tag Name:
 

 

Name Tag USMC Connection:

 

Nametags will be pre-printed so please include nametag information for each person attending. USMC Connection is 3/1 Korea, Vietnam 67-68, Sgt USMC, etc.

 

Mail to:

 

 USMCCCOK
1420 Evergreen Circle
Midwest City, OK 73110-6967
 

 

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