ISLAND X-1, BATON ROUGE, LA
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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-1, BATON ROUGE, LA
Name__________________________________________________________________________________
Address:________________________________________________
City_____________________________________________________
State;_________________________ Zip ______________________
Phone_____________________________________
Date Of Birth__________________________
Unit(S) Served With:___________________________________________________________________
Discharge Date ________________________________
Type Of Discharge________________________________
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 -------$130.00
41 to age 69--------$105.00
70 and over---------$130.00
Make checks payable to:
Island X-1LA
Mail To: SEC'Y: GLENN L. STAFFORD, 1134 Husband Street, Baker, LA 70714-3915
Tel: 225-775-0712