| | USS JOHN C. CALHOUN (SSBN-630) VETERANS ASSOCIATION
MEMBERSHIP FORM | |
MEMBERSHIP - BIENNIAL DUES $20.00 (Circle one or more):
2013-14 2014-15 2015-16
2016-17 2017-2018 2018-2019
(Please type or print)
NAME: _____________________________________________________________
PARTNER'S
NAME: ____________________________________________________
DATES SERVED ON CALHOUN: ________ TO ________
(year only) (year only)
CREW ASSIGNMENT: BLUE / GOLD (circle one) RANK/RATE WHILE
ABOARD: _______________
YEAR ENTERED
MILITARY SERVICE: __________
YEAR
LEFT MILITARY SERVICE: _________
ADDRESS: _______________________________________________________________
_______________________________________________________________
_______________________________________________________________
E-MAIL
ADDRESS: ________________________________________________________
PHONE:
___________________________
ALL CONTACT DATA IS TREATED AS PRIVATE AND CONFIDENTIAL AND WILL BE SHARED ONLY WITH FELLOW USS JOHN C. CALHOUN
(SSBN-630) VETERANS ASSOCIATION SHIPMATES
MAIL THIS FORM ALONG WITH A CHECK MADE PAYABLE TO
"CALHOUN VETERANS ASSOCIATION"
TO:
Dean Hunt
105 Eva Drive
Ladson,
SC 29456
