|
 Association Membership Application/Renewal Form |
|
Membership
Membership to the USS CORAL SEA CVA-43
ASSOCIATION is open to all Navy, Marine Corps, and Air Force personnel who
served aboard the ship USS CORAL SEA (CV/CVB/CVA-43) for a period of at least 90
days. Also, any person who was assigned to the Commissioning crew (plank
owner), even if they spent less than 90 days aboard shall be eligible for
membership.
Dues
Association membership dues is
$15 per year. Dues for membership is not limited to one year when submitted for
renewal or first-time application. Any amount submitted over the annual dues,
will be automatically earmarked for the Association's Scholarship Fund program.
[ ] I apply for membership for ____ year(s). Enclosed is Check/M.O. = $_______
[ ] Renew my membership for ____ year(s). Enclosed is Check/M.O.= $_______
Name (First/mid/Last):___________________________________Birthday:(mo/day/yr)___-___-___
Spouse's Name : __________________________ Birthday:___-___-___
Anniversary:___-___-___
Street Address: _______________________________________
City:_____________________________________ State_____
Zip:___________-_______
Phone:(_____)____________
Email: _____________________________________________
On board ship as crew member:
From (mo/yr):____-____ to (mo/yr):____-____
Division:________ Rank/Rate on board:__________
Military Retirement? NO [ ] YES [
] -- Retired as (Rank/Rate, ex: LCDR, M/Sgt, EMC,):___________
Retired from Service: [ ] USN
[ ] USNR [ ] USMC [ ] USCG
[ ] AIR FORCE [ ] ARMY
I do [ ] do not [ ] want my complete mailing address printed on the Published roster.
Please make check payable to:
USS CORAL SEA CVA-43 ASSOCIATION
Mail application to:
Secretary, USS CORAL SEA CVA-43 ASSOCIATION
P.O. Box 179
Street, MD. 21154-1412
|
