RETIRED OFFICERS’ WIVES SOCIETY (ROWS)
Renewal and Membership Application
Print and Mail to:
 
Ellen Matt
1123 E Bay Shore Dr.
Virginia Beach, VA 23451         422-2857
 *  Fields that must be filled in
New or Renewal: * 
Date: 
Name: * ,  * 
     (Last)
(First)
(Middle, or initial)
Phone Number: * 
Mailing Address:
* 
     (Number and Street)
*  *  * 
     (City)      (State)       (9-digit Zipcode)
Husband's Name: , 
   (Last)
(First)
(Middle, or initial)
Please indicated if deceased:
Service: Rank:
E-Mail address: 
Print this page and mail along with your
check made payable to ROWS for $18.00		  
Enclosed is * $
Signature ___________________________________
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