USS SAVANNAH (AOR 4) ASSOCIATION
Online 2011-2012 Membership Application / Renewal

If you are renewing your membership, you do not need to complete all the information below unless
you have recent changes.  The current and onboard SAVANNAH info is maintained in our database.
Current info is not published nor given out to any third party.
 

CURRENT INFO:

Last Name:  ___________________________________

First Name:  __________________________________

Middle Initial:  ______________________________

Street or
Box No:  ______________________________________

City:  ________________________________________

State:  ________  ZIP Code:  __________________

eMail address:  ____________________________________________________

Currently on active duty (Y or N):  _______


ONBOARD SAVANNAH INFO:

Year reported aboard:  ________

Plankowner (Y or N):  ______

Highest Rank/Rate :  __________

Department:  ________________________________

Division:  __________________________________

Decomm Crew (Y or N):  __________

Year departed SAVANNAH:  _____________


* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Dues are $25.00 (Wavied for active duty personnel)
Membership expires December 31, 2012

Make check payable to:    USS SAVANNAH (AOR 4) Association

Mail form and check to:

  USS SAVANNAH (AOR 4) Association
  63 Chamberlain Street
  Skowhegan, ME 04976