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Update Member Information Form.
You may copy and paste this form and mail to Joe Oliva
or send the information as an e-mail.

Please help update our records.
Return the form below. To:
Joe Oliva 73 Terry lane
Rocky Hill, Ct 06067
E/Mail joetheref@sbcglobal.net

USCGC Campbell Information Sheet

Name: Member____________________________DOB______________Wife______________________

Address: Number____________Street_________________City__________________State____Zip________

Phone: Home_____________Work_____________Cell_____________E-mail__________________

Branch of Service:______________________________________Years Served__________________________

Ship Name: 1.__________________________________________________Years Served___________________

Ship Name: 2.__________________________________________________Years Served___________________

Ship Name: 3.__________________________________________________Years Served___________________