Hill 4-11 Association

Dues, Scholarship, and Hill 4-11 History Book Form



Name and Address:

Name:_______________________________________
Street:_______________________________________
City:_______________________  State:________  Zip:____________
Phone:___________________  E-mail Address:___________________
Vietnam Unit: ___________________  Dates of Vietnam Service:___________________


Hill 4-11 Association Dues $25.00  
Scholarship Fund Contribution $_____
____ Copies of Hill 4-11 History 2nd Edition @ $17.50 each $_____
Total $_____


Make checks payable to Hill 4-11 Association and mail to:

Hill 4-11 Association
ATTN: Dick Hill, Treasurer
630 Woodside Dr.
Kent, OH 44240-2664