Reservations
Name: 
E-Mail: 
Rank: 
Street Address: 
City, State, Zip: 
Phone: 
Ship: 
Organization: 
Membership: 
Captain's Call: 
Saturday Formal Banquet:  If Other: 
Mousepads $5: 
Enamel Logo Pin $5: 
T-Shirt $12:  More than one, how many? 
Comments (multiple memberships information entered here): 
Payment Type Pay at door  PayPal

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