[SHIP IMAGE]

JAMES C OWENS

REUNION ASSOCIATION

Membership Application
Annual Dues $10.00
Life Membership $100.00
Checks payable to
James C. Owens Assoc.

PRINT THIS FORM AND MAIL WITH YOUR CHECK TO:
Franklin Kleinsorgen, 27070 Mill Seat Dr, Mechanicsville MD 20659-2858
I served in USS James C. Owens (DD776) from 19_____ to 19_____

Name:__________________________________________________

Addr:___________________________________________________

City:_________________________ State:_______ Zip:____________

Telephone:____________________ Spouse:_____________________

E-Mail Addr:______________________________________________

My check for Dues in the amount of $___________ are enclosed.