Island X-4, Longmont, CO

APPLICATION FOR MEMBERSHIP
NAVY SEABEE VETERANS OF AMERICA

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, Longmont, CO

Name__________________________________________________________________________________
Address:________________________________________________
City____________________________________________________
State;_________________________ Zip ______________________
Phone__________________________________________________
Date Of Birth_____________________________________________
Naval Construction Force Unit(s) Served With:___________________________________________________
Rank/Rate(Enlisted) or Rank/Designator (Officer) Held_____________________________________________
Discharge or Retirement Date ________________________________
Type Of Discharge________________________________________
Name of  Spouse ____________________________________________
E-Mail Address:__________________________________________
Signature_______________________________________________Date:_____________________________

Annual dues are $20.00 per year, July 1 - June 30.  Payable at time of application and each year thereafter on June 1. On July 1, 2005, the Navy S.V.A adopted a new
pro rated dues schedule for new members: If a member joins between July and September - $20.00, October and December - $15.00, January and March - $10.00,
April and June - $20.00.  Make check payable to:  NAVY S.V.A. National Headquarters

Life Membership rates based on age with the cost being:  Make check payable to:  NAVY S.V.A. Life Membership
18 to age 40 -------$180.00
41 to age 69--------$155.00
70 and over --------$130.00

  Mail Check and Application to: