JUST PRINT THIS PAGE ON YOUR PRINTER
FILL IT OUT AND MAIL IT IN
IT IS JUST THAT SIMPLE.
I HEREBY APPLY FOR MEMBERSHIP IN THE NAVY SEABEE VETERANS OF AMERICA
I SOLEMNLY PLEDGE MYSELF TO PROMOTE THE WELFARE OF ITS MEMBERS, AND TO PERPETUATE ALLEGIANCE TO AMERICA, TO THE AMERICAN FLAG AND TO AMERICA’S FREE INSTITUTIONS.
MEMBERSHIP FOR: Island X-23, Crystal River, Fl
Name__________________________________________________________________________________
Address:________________________________________________
City_____________________________________________________
State;_________________________ Zip ______________________
Phone_____________________________________
Date Of Birth__________________________
Unit(S) Served With:___________________________________________________________________
Discharge Date ________________________________
Type Of Discharge________________________________
Copy of DD214
Name of Spouse _________________________________
E-Mail Address:______________________________________________
Signature___________________________________________Date:______________________________________
Annual dues are $20 per year, July1 -June30. Payable at time of application and each year thereafter on June 1.
Life Membership rates based on age with the cost being:
18 to age 40 -------$180.00
41 to age 69--------$155.00
70 and over---------$ 130.00
Make checks payable to:
Island X-23FL
Mail TO:
| SEC'Y: | LYNFORD ROYA, 1908 S. Gleneagle Terr., Lecanto, FL 34461 | |
| Tel: 352-628-6901 |