PLEASE FILL IN QUESTIONNAIRE Return completed form to: Cookie Tabor 17219 Seven Springs Way Riverside, CA 92604 Annual dues are $20.00 and run from reunion to reunion. Please make check payable to: U.S.S. Mansfield DD-728 Association PLEASE PRINT ALL INFORMATION NAME:Address City State / Province / Region ZIP / Postal Code TELEPHONE:SPOUSE’S NAME:RETIRED NAVY?YESNOSERVED ABOARD THE MANSFIELD FROM: Date Format: MM slash DD slash YYYY TO: Date Format: MM slash DD slash YYYY RATE/RANK WHILE ABOARD:RATE/RANK UPON DISCHARGE:ABOARD MANSFIELD COMMENTS/OBSERVATIONSDO NOT SUBMIT ELECTRONICALLY. Please print this page and mail to the address noted above. This iframe contains the logic required to handle Ajax powered Gravity Forms.