APPLICATION FOR MEMBERSHIP

I SUBMIT MY NAME FOR MEMBERSHIP IN THE U.S.S. MISSOURI (BB-63) ASSOCIATION, FORMED IN 1974 TO PROMOTE THE FRATERNAL, CIVIC AND PATRIOTIC TIES AMONG FORMER SHIPMATES WHO SERVED ABOARD THE BATTLESHIP MISSOURI (BB-63).

Please print or type:

Name: ____________________________________________ Wife’s First Name: ________________

Address: ___________________________________ City: ___________________________________

State: ____________ Zip Code: ______________________ Telephone: _________________________

Years Served Aboard Missouri: E-mail Address: _____________________

From: ____________ To:____________ Division: ______________ Rank/Rate: __________________

Membership donations are $25.00 per year and expire 31^st December each year. Your donation entitles you to all the rights and privileges accorded in the By-Laws of the Association.

Sponsor or Contact (Internet, Shipmate, VFW, etc. Please print): ________________________________

Signed by Applicant: ________________________________________ Date: ______________________

Make donation payable to: U. S. S. MISSOURI (BB-63 ) ASSOCIATION, INC.

Mail donation and this application to:

MEMBERSHIP NUMBER

John Stempick, Jr.

Financial Secretary

66 Lynmoor Place

Hamden, CT 06517

(203) 281-4693

You will receive your membership card and other information by return mail. “Welcome Aboard!”

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