PLEASE REGISTER NOW. We need to have an idea of how many people are coming, so if you could submit the registration by e-mail to: NPCA@roadrunner.com (Registration fee may be submitted later, due by 15 April 2010), Dont have E-MAIL? Then CALL NPCA PRESIDENT Mike Bertalan at (216) 299-6732 or you can mail the form with your registration fee to our Mike Bertalan
Highest PC rate obtained ______ (if not a PC, indicate rank/ rate or civilian and for new members in comments section below indicate relationship to Navy Postal Service) Dates of Service( year), From: _____ To______ If broken service From: ______To______ Current Status: Active Duty Retired Veteran not retired Active Reserve Reserve Guest 1: Frst Name ____________Last Name____________________
Guest 2: Frst Name ____________Last Name____________________
Guest 3: Frst Name ____________Last Name____________________
Address 1: ____________________________________________ Address 2: ____________________________________________
City ______________ State______ Zip Code ______________
Cotact Telephone Number ___ ___________E-mail _____________________________________________ Comments and Questions _______________________________________________________________
_____________________________________________________________________________________
________________________________________________________________________________________ +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ When submitting payment for the reunion include the following information and check or money oeder: NAME________________________________ Registration $ 75.00 Fee $_75.00___ (Includes Banquet and Hospitality Room Privileges) Number of Guest ____ ($50 each) $_________ (Includes Banquet and Hospitality Room Privileges)
Slot tournament registration fee. ($20 per entry) $________
Membership dues for 2010 & 2011 of $20.00 for Two years $_____________ (not a requirement for attending the reunion)
Total Amount enclosed $_____________ check payable to NPCA
Send to
PCCM Michael Bertalan USN Ret
2063 West 103rd St
Cleveland, Oh 44102