USS SEA ROBIN ASSOC

 

MEMBERSHIP APPLICATION

 

 

 

Please enroll me as a member of the USS SEA ROBIN ASSOC for the year ____.

 

 

PLEASE PRINT CLEARLY

 

DATE:       ________________

  

NAME:      ________________________________________________________

 

STREET:  ________________________________________________________

 

CITY :       _________________________________________

 

STATE :    ___________________ ZIP:___________-________

 

PHONE:    ________________________________________

 

EMAIL:     _________________________________________

 

WIFE:       __________________________________

 

Rate/Rank on SS-407    ______________        Years Served on Board :   From _____  to _______

 

FEE INCLUDED - Check one

 

INITIAL APPLICATION $20.00   ____

                         or    

ANNUAL RENEWAL       $10.00   ____

                         or

LIFE MEMBERSHIP: UNDER AGE 62 - $150.00 ____  AGE 62 AND OVER -  $100.00 ____

 

NOTE:  If you served on the USS Sea Robin during a WWII war patrol, you are considered a LIFE MEMBER of the Association. NO DUES

 

I served on USS Sea Robin during WWII War Patrol # ___   ___   ___

 

 

ALL CHECKS should be made payable to: USS SEA ROBIN ASSOC

 

 

RETURN TO:

 

 

PAUL ROGGEMANN

42 Hemlock Dr

Hopewell Jct NY 12533

 

Temporary Treasurer