Name of Donor: ________________________________________________________

Street Address:_________________________________________________________

City/Town:______________________________________________________________

State:________________________________ Zip Code:_______________-__________

Amount Inclosed $ ____________________

Specific Submarine to benefit: _________________________________________________

Please make checks payable to:  US Submarine Veterans' Charitable Foundation

In the memo portion of the check:    Museum Submarine Fund

Mail To:

USSVCF- Museum Subs Fund
P.O. BOX 3870
Silverdale, WA 98383-3870

Please include this form with your donation.

Thank you for your interest and support of this program.

CFMSF-1 (2002)