MEMBERSHIP APPLICATION

(Membership tour runs from July 1 to June 30)

 

VIETNAM ERA SEABEES, INC                                                                      
   

NAME: _________________________________________             NEW     RENEWAL
RANK/RATE:        During Vietnam __________________     Last Held ________________________
ADDRESS:______________________________________________________________________
CITY: ___________________________________ STATE _________________ ZIP ____________
PHONE NUMBER: ____________________  E_MAIL ADDRESS___________________________
UNITS (& DATES) Assigned to during Seabee Career:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
 
Would you be willing to help the organization in the areas listed below?
 
Membership                                               Reunions                               Newsletter       

 

Website                                                       Events                         Other  ________________

ANNUAL DUES ARE $ 10.00 PER YEAR

AN EXTENDED MEMBERSHIP IS AVAILABLE AT $25.00 FOR 3 YEARS

Make Checks payable to Vietnam Era Seabees

VIETNAM ERA SEABEES IS OPEN TO ANYONE !

Use your browser print button to print this form.  Fill it out and mail to

Vietnam Era Seabees, Inc.
P.O. Box 5177
Midlothian, VA 23112-0020