RETIRED OFFICERS’ WIVES SOCIETY (ROWS)
Renewal and Membership Application
Print and Mail to:
 
Barbara Smith
1201 Faulkner Rd.
Virginia Beach, VA 23454         427-3475
 *  Fields that must be filled in
New or Renewal: * 
Date: 
Name: *  * 
   (Last) 
(First)
(Middle, or initial)
Birthday: * 
    (Month)                   (Day)
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 $25.00		  
Enclosed is * $
Signature ___________________________________
01217
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