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SSB Application

South Sound Base
United States Submarine Veterans Inc.
APPLICATION FOR MEMBERSHIP
Type your data into the boxes and proof read for accuracy
When this form is completed
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PRINT OUT THIS APPLICATION
 

Regular  Life  Associate
CIRCLE ONE
 
OUR CREED:
 
“To perpetuate the memory of our shipmates who gave their lives in the pursuit of their duties while serving their country. That their dedication, deeds and supreme sacrifice be a constant source of motivation toward greater accomplishments. Pledge loyalty and patriotism to the United States Government”

I subscribe to the Creed of the United States Submarine Veterans, Inc., and agree to abide by the Constitution, all Bylaws, Regulations and Procedures governing the U.S. Submarine Veterans, Inc., so long as they do not conflict with my military or civil obligations. I will furnish further proof of my eligibility for Regular or Life membership, including an Honorable Discharge and U.S. Navy (SS) Designation, if required by proper authority.
 

Date: (MM/DD/YY)

 
 
Name:
 
Signature:                                                                                                                                                                                      
 
Address:
City:
State:
Zip Code:
Tel (Include area code):
E-Mail Address:
Base Desired:
Sponsor:
 
BIOGRAPHICAL DATA
(New Members/Updates/Changes)
    Please provide the information requested below. This information will be retained in the National and/or Base Database Individual Bases may request additional data for their specific use only.
 

Date Of Birth (MM/DD/YY)

Spouse
Highest Rank Attained:
Retired (Y/N)
Active Duty (Y/N)
Qual Boat - Include Hull Number
Qual Date (MM/YY)
 

Next of Kin if other than Spouse:
Name
Relationship: (optional)
Address
City
State
Zip:
 


Other Boats Served In:
Type in date as Month/Year   Example: June 1970 - Type as 06/70
 

Name & Hull Number

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Name & Hull Number
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Name & Hull Number
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Name & Hull Number
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Name & Hull Number
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Name & Hull Number
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Upon completion, bring to next meeting or send by US Mail to:
Ken Board -  SSB Yeoman
          19710 8th Ave E
Spanaway, WA. 98387

 

Applicants serving on active duty are requested to provide a permanent address through which they may be contacted. (Continue on back if necessary)