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USS Mansfield
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The Official site of the USS Mansfield Association

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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?
- YES
- NO
SERVED 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/OBSERVATIONS
DO NOT SUBMIT ELECTRONICALLY. Please print this page and mail to the address noted above.