RETIRED SEABEE
DIRECTORY APPLICATION
CHECK THE PROPER BOX(ES)
[ ] Please include my
name and address in the Retired Seabee Directory. I am a honorably retired Seabee with at least 20 years service in
the Navy and/or Naval Reserve. Or, I am
retired with less than 20 years service either medically or under the
provisions of the TEMA Program. (This
also includes retired Civil Engineer Corps officers and “H” Company personnel
who have served at least one tour with the Naval Construction Forces.)
[ ] Please send me a
copy of the current directory.
PLEASE PRINT CLEARLY:
Name:_______________________________________________Rate/Rank__________
LAST
FIRST MI
Address:________________________________________________________________
STREET
________________________________________________________________
CITY
STATE ZIP + 4
Phone
(Optional):________________________________________________________
E-mail
(Optional):________________________________________________________
PLEASE PRINT IN CAPS; CIRCLE LETTERS THAT
ARE TO REMAIN IN CAPS IN E-MAIL ADDRESS
Signature
____________________________________
Date_____________________
Note: If you have additional information you wish
to include, such as an alternate address, or a cell or FAX number please add it
to this application.
Alternate
Address: __________________________________________
Street
___________________________________________
City State Zip Code (+4)
Alternate
Phone (optional): __(______)____________________________
The
staff is made up of volunteers who donate their time and talents. There is no pay involved and in most cases
no reimbursement for minor expenses.
Major expenses are met by donations of the members. Although there is a
suggested donation amount ($12.00 this year), donations are not
mandatory.
Mail
your application to: RETIRED SEABEE DIRECTORY Phone: (228) 255-9687
Attention:
Glen Kellerman
11257 Vidalia Road E-mail: EQPACKRAT@aol.com
Pass
Christian, MS 39571-9057