| USS JOHN C. CALHOUN (SSBN-630) VETERANS ASSOCIATION
MEMBERSHIP FORM |
|
MEMBERSHIP – BIENNIAL DUES $20.00 (Circle one or more):
2010-11 2011-12 2012-13 2013-14
2014-2015 2015-2016
(Please type or print)
NAME: _____________________________________________________________
PARTNER’S NAME:
____________________________________________________
DATES SERVED: ________ TO ________
(year only) (year only)
CREW ASSIGNMENT: BLUE / GOLD (circle one)
RANK/RATE WHILE ABOARD: _______________
ADDRESS: _______________________________________________________________
_______________________________________________________________
_______________________________________________________________
E-MAIL ADDRESS:
________________________________________________________
PHONE: ___________________________
ALL CONTACT DATA IS TREATED AS PRIVATE AND CONFIDENTIAL
AND WILL BE SHARED ONLY WITH FELLOW USS JOHN C. CALHOUN (SSBN-630) VETERANS ASSOCIATION SHIPMATES
MAIL THIS FORM ALONG WITH A CHECK MADE PAYABLE TO
“CALHOUN VETERANS ASSOCIATION”
TO:
Thomas
G. Yingling
311 Woodward Blvd.
Summerville, SC 29483-3137