2005 Dues payment form    CENTRAL JERSEY COUNCIL    Navy League of the United States

NAME: ____________________________________    PHONE:(_____)___________
ADDRESS: ___________________________________________________________
CITY: __________________________  STATE: ________  ZIP CODE: ____________

AMOUNT ENCLOSED:________________________ (Dues are $5.00 per member)

MAIL TO: Tom Vastardis, c/o 41 Jensen Street, East Brunswick, NJ 08816