Login or Register

Main Menu

Home arrow Shipboard Staff & Office arrow Printable Forms arrow Chair Plaque Request - Online Form
Chair Plaque Request Information PDF Print E-mail
Tuesday, 09 October 2007

The following information is needed to complete an order for a Chair Plaque that will be mounted on the façade of the "Smokey" Stover Theatre. If you have any questions or concerns, please call 843-849-1928.

Chair Plaque Request Form

Your Full Name *

Your Phone Number *

In Memory Of or In Honor Of *

Honoree Full Name *

Ex: William L. Bennett, Jr. or Robert Wallace

Honoree Rank or Rate *

Ex: Captain, USN Retired, or Electricians Mate 1/C

Honoree Yorktown Assignment *

Ex: Commanding Officer or S-2 Division

Dates Assigned to USS Yorktown *

Ex: July 1967 - July 1968

Given by *

Ex: His daughter, His shipmates/squadron, His wife Grace

Comment

Send Request *

Last Updated ( Sunday, 04 November 2007 )
 
RocketTheme Joomla Templates