RAD (Mail In) Registration Form

JRAD (Mail In) Registrations
Registration Fee: $
Important: Mail-in registration requires check payment to the address below. (Fee shown here is per individual person)
Is this your 1st RAD?*

YesNo
Service retired from:*
Pay Grade at retirement*
Your Phone Number?*
Format: (000) 000-0000.
Select appropriate boxes:*

Veteran / RetireeSpouse / Guest
Additional Guest Option

Additional Guest
Veteran / Retiree

First NameLast Name
Email*

Confirmation Email
Spouse / Guest

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Guest

First NameLast Name
Please Note:

All registered attendees are provided lunch. ONLY indicate the number of lunches below IF you have special dietary preferences.
Number of Vegetarian Lunches?
Enter the number requesting above, ONLY if you request this specific lunch.
Number of Gluten Free Lunches?
Enter the number requesting above, ONLY if you request this specific lunch.
Amount $
Total dollar amount due for your requested JRAD registration(s).
Status:
Please print the receipt you receive in your email and include a copy with your check. Your registration will be complete once check is received.

Please mail your check to:
Navy Retired Activities Office
5905 34th Ave S
Minneapolis, MN 55450

“Thank You”
Should be Empty:

JRAD (Mail In) Registrations