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Join Us & Seabee Song
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Join us - be part of our MCB Ten Association !
 Dues are $16 per year - due Oct 1st;      Life Membership $125
 
Print this page & complete the Form below.
Mail with check, payable to MCB Ten Association, to:
Charles Lombardi, Treasurer, 
781 Willow Drive  Catasauqua, PA 18032-2135
    Need more info -
Call Chuck at 610-264-1075 or e-mail at chuck781@outlook.com
Date    ______________   
 
__ Life Member ($125)   __ New Annual ($16)  __ Renew ($16)
 
                                                                              
Name  ___________________________________
 
 
Street/Apt. ________________________________________
 
 
 City-State
   & Zip ___________________________________________
 
 
Spouse (first name or N/A): ___________________________
 
 
Phone   ( ____ ) ________________    Cell  ( ____ ) ________________
 
 
E-mail     ___________________________________________________
   
Final Rank / Rate   ___________________________________________
 
 
Unit /s & Dates (e.g. 19xx to..) __________________________________
 
 
 Comments / Questions
 
 
 
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