Name of Donor:__________________________________________________________

Street Address:__________________________________________________________

City/Town: ______________________________________________________________

State:________________________________Zip Code:_______________-___________

Amount Inclosed $ ____________________

Please make checks payable to:
US Submarine Veterans' Charitable Foundation

Note in the memo portion of your check:   Hawkbill Memorial Fund

Mail To:

USSV CF - Hawkbill Memorial  Fund
P.O. BOX 3870
Silverdale, WA 98383-3870

Please include this form with your donation.
Thank you for your interest and support of this program

CFHMF-1 (2003)