Enclosed is my dues payment $__________ for 2008 ($15.00 per year)
Name:_______________________
Address:______________________________
City:______________________ State:_______ Zip:_____________
Telephone Number:_____________________
Email Address:_________________________
Dates served on the Antietam______________
Please submit the above information.and the dues payment to :
USS ANTIETAM Association
c/o Bill Hiebert
7901 Candlewood Dr.
Alexandria, Va. 22306
