United States Submarine Veterans Inc.
APPLICATION FOR MEMBERSHIP
Regular Life Associate
OUR CREED:
“To perpetuate the memory of our shipmates who gave their lives in the
pursuit of their duties while serving their country. That their dedication,
deeds and supreme sacrifice be a constant source of motivation toward greater
accomplishments. Pledge loyalty and patriotism to the United States Government”
I subscribe to the Creed of the United States Submarine Veterans,
Inc., and agree to abide by the Constitution, all Bylaws, Regulations and
Procedures governing the U.S. Submarine Veterans, Inc., so long as they
do not conflict with my military or civil obligations. I will furnish further
proof of my eligibility for Regular or Life membership, including an Honorable
Discharge and U.S. Navy (SS) Designation, if required by proper authority.
| Date: ________/_______/_______
Name: (Print or Type) _________________________________________
Signature:___________________________________________________
Address:____________________________________________________
City:___________________________________ State: _______________
Zip Code:___________ -_______
Tel: (_____) _______________
E-Mail Address:______________________
Base Desired: _______________________________________________
Sponsor:____________________________________________________ |
| This box is for Associate applicants or for Groton Base Membership
Only
Associate Applicant is (Check one): Veteran
Spouse of Veteran
Other (specify) _______________________ |
NATIONAL DUES:
Annual: $20 (1st year) - $10 (subsequent years)
Life: (Age 65 + = $50) (55 to 65 = $100)
(45 to 55 = $150) (Under 45 = $250)
Plus
Kings Bay Base Annual Base Dues: ($10)
BIOGRAPHICAL DATA
(New Members/Updates/Changes)
|
Please provide the information requested below. This information will
be retained in the National and/or Base Database Individual Bases may request
additional data for their specific use only.
Date Of Birth (MM/DD/YY) ____/____/____
Spouse _______________________________
Highest Rank Attained: __________________
Retired (Y/N): _____ Active
Duty (Y/N): _____
Qual Boat:______________________________________________Hull#_________
Qual Date (MM/YY) ____/_______
Next of Kin if other than Spouse:
Name: _______________________________
Relationship: (optional) ___________________
Address:__________________________
City: ___________________ State: ______ Zip: _________-________ |