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-1 NEVADA (LAS VEGAS) ________________

ISLAND IN ANOTHER STATE ______________________ STATE: ________________

SEABEE AT LARGE _______________________________

NAME__________________________________________________________________________________

ADDRESS:________________________________________________

CITY_____________________________________________________

STATE;_________________________ ZIP ______________________

PHONE_____________________________________

SERVICE NUMBER___________________________________

SS#________________________________________

PLACE OF BIRTH__________________________________________________________________________________

DATE OF BIRTH ___________________________________________________________________________________

UNIT(S) SERVED WITH______________________________________________________________________________

DISCHARGE DATE ________________________________

TYPE OF DISCHARGE_____________________________

OCCUPATION:____________________________________

WIFE’S NAME _________________________________

EMAIL ADDRESS:______________________________________________

WEB PAGE: __________________________________________________

RECOMMENDED BY ___________________________________________________________________________________________

SIGNATURE ______________________________________________________DATE:______________________________________

Anual dues are $20 per year, June 1 - May 31. Payable at time of application and each year thereafter on June 1.

If you are applying for "Island At Large" the dues are $15 per year. Same time period as above.

RETURN TO:

HARRY FIELDER, 5158 SUPAI DR, LAS VEGAS, NV 89103,

We will then make sure that your application is forwarded to National Headquarters for processing.

Email: nvseabee@citlink.net