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

Let Everyone Know With A Note To The Newsletter!

Name:  ________________________________________________________________
Street:  ________________________________________________________________
City:  ______________________________ State:  ______ Zip:  _______ + __________
Vietnam Unit:  ____________________ Dates of Vietnam Service:  __________________

Check The Appropriate Items:

_____ Send Membership List (No Charge If Dues Have Been Paid)

_____ Hill 4-11 Association Dues ($25 per year) $_____

_____ Scholarship Fund Contribution $_____

_____ Hill 4-11 History Update ($8.00 each) $_____

_____ Hill 4-11 History 2nd Edition ($15.00 each) $_____

Total $_____

A Note To The Newsletter:______________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

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

_____ Send Membership List (No Charge If Dues Have Been Paid)
_____ Hill 4-11 Association Dues ($25 per year)	$_____
_____ Scholarship Fund Contribution	$_____
_____ Hill 4-11 History Update ($8.00 each)	$_____
_____ Hill 4-11 History 2nd Edition ($15.00 each)	$_____
Total	$_____