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:   Memorial Fund

Mail To:

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

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

CFMF-1 (2002)