USS Great Sitkin (AE-17) Association
Active Member Application
 & Membership Renewal
1 January - 31 December 2017

Name:  

Address:

City, State, Zip:

Phone:

E-Mail:


Date Served on board:

Application Date:
  New      Renewal

Amount Submitted:
       
 
2015 YR ($20.00)      2016 YR ($20.00)      2017 YR ($20.00)
Comments:





Please send me a copy of the Amended Constitution and Bylaws.

Signature:

Make check payable to:  USS Great Sitkin (AE-17) Association
Mail completed form and dues to: USS Great Sitkin (AE-17) Association
                                                         c/o George Kaiser
                                                         311 W. Oak Lane
                                                         Glenolden, PA 19036

Upon completion, print the form using your browser's print function

Last updated on:12/09/16