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REGISTRATION FORM OPERATION TORCH 2009
After filling in
the form, please print or email and send to:
Joseph M. Bossi CSM (Ret)
2231 Pendleton Dr.
Clarksville, TN 37042-5618
registration
Please fill in your name as it appears in your passport:
| First name | |
| Middle initial | |
| Last name | |
| Address | |
| City | |
| State | |
| Zip | |
| Telephone | |
Travel Companion e.g. friend to be roomed together | Room Mate
| Name |
Affiliation with Operation Torch:
| WWII veteran: Unit: |
|
| Veteran later conflict: Unit: |
|
| Family member and unit: | |
| Current unit: | |
| Special Requests (dietary requirements / disability / individual interest in special locations during trip / hotel room smoking/non smoking) |
|
| Emergency contact back home |