USS DIODON SS-349

FOURTH REUNION

Print this form, fill out and return to Jim Barnes

WHERE:

Wyndham Riverfront Hotel

2 Riverfront Drive

North Little Rock, AR 72114

WHEN:

Cash Bar at 17:30, Dinner at 19:00

REGISTRATION FORM

Name___________________________________________ AKA___________

Spouse/Guest Name_______________________________________________

Address:________________________________________________________

City: ____________________________St: ______Zip: _____________

Phone: ________________________ E-Mail: __________________________

Served on Diodon from _______ until _________ Rank / Rate _____________

Registration $10.00 NON-REFUNDABLE $ 10.00

Dinner $35.00 per person $35.00 x ___ = $ _______

Total $ _______

Mail registration form and check to: James W. Barnes

2103 Wright Ave.

Benton, AR 72015

(501) 778-6583 mixie@up-link.net

Make checks payable DIODON FUND

Reservations must be received no later than September 20, 2004