APPLICATION FOR MEMBERSHIP IN NSVA ISLAND MCB 7 AT LARGE
NAME________________________________________ ADDRESS_______________________________________
CITY_________________________________________ STATE___________ ZIP________________-___________
CURRENT OCCUPATION_________________________________________________________________________
WIFE'S NAME_________________________________ ANNIVERSARY DATE_____________________________
YOUR BIRTH DATE_____________________________ PHONE NUMBER (________)________-______________
MEMBERSHIP TYPE: NEW________ RENEW________ LIFE________ USN RATE________________________
DISCHARGE DATE______________________________ DISCHARGE TYPE_______________________________
UNIT(S) SERVED WITH______________________________________________ DATE(S)_____________________
EMAIL ADDRESS____________________________________
I ALSO RECOMMEND FOR MEMBERSHIP:
NAME________________________________________ ADDRESS_______________________________________
CITY_________________________________________ STATE___________ ZIP________________-___________
PHONE NUMBER (______)______-___________ USN RATE___________________ UNIT(S)_________________
I HEREBY APPLY FOR MEMBERSHIP IN THE NAVY SEABEE VETERANS OF AMERICA. I SOLEMNLY PLEDGE MYSELF TO THE WELFARE OF ITS MEMBMERS, AND TO PERPETUATE ALLEGIANCE TO AMERICA, THE AMERICAN FLAG AND TO AMERICA'S FREE INSTITUTIONS.
SIGNATURE______________________________________________________________
DATE________________
ANNUAL DUES FOR MEMBERSHIP IN ISLAND MCB 7 AT LARGE ARE $20.00 AND ARE DUE 1 JULY FOR THE FORTHCOMING YEAR. THE NSVA USES A FISCAL YEAR OF 1 JULY THROUGH 30 JUNE. DUES SHOULD BE SENT TO THE ISLAND SECRETARY. DUES INCLUDE THE QUARTERLY NSVA PUBLICATION, "CAN DO".
LIFE MEMBERSHIP DUES TO AGE 40 ARE $180.00, 41 THROUGH 69 ARE $155.00, AND FOR 70+ DUES ARE $130.00. MAKE CHECKS PAYABLE TO NSVA ISLAND MCB 7 AT LARGE.
SEND YOUR DUES PAYMENT TO:
Dick Pelissier
NSVA Island MCB7 At Large
112 Atherton Ave
Nashua, NH 03064
I WILL ANSWER YOUR QUESTIONS FROM HOME AT 603-889-5489.