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-4, Peoria, IL
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 $20.00 per year, July1 -June30, Are Payable at time of application and each year thereafter on July 1.
A Quarterly Pro Rated Dues Structure is available for New Members. There is a reduced rate 3-year membership ($50.00) for all annual members.
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:
Navy S.V.A. Island X-4,IL
Mail TO: Navy S.V.A. Island X-4
555 Fairview Ave.
Creve Coeur, IL 61610-3237