USS James Madison 627.com

Update or Provide Your Contact Info. (Also to be used for obtaining 2012 Membership)
In preparation for the upcoming reunion and to make sure we have reached as many of our shipmates as possible, we ask that you complete the form below with your current contact information. You will also have the option to print the form and join the Reunion Association for 2012.
Please fill in all fields marked with a *
	Your First Name	*
	Your Last Name (add suffixes as appropriate)	*
	Mailing Address Line 1	*
	Mailing Address Line 2
	City	*
	State (2 letter abbreviation)	*
	Zip or Postal Code	*
	Country
	Phone Number (optional)
	Email (optional)
	Beginning and Ending Years You Served On Board SSBN 627	*
	How many years served?	*
	Crew (choose 1)	*
	Check if you want to be Association member for 2012
	Check if you are USSVI Member

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~RKH 27 Feb 2012