APPLICATION FOR USSVI MEMBERSHIP                                     RETURN TO INDEX PAGE

CHARLESTON, SC BASE

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.

National Annual Dues:

5 yr: $90 3 yr: $55 1 year: $20

National Life Dues:

(under 45: $500)(46 to 55: $400)(56 to 65: $300)

(66 to 75: $200)(76+: $100)

Charleston Base Annual Dues:  $15

Charleston Base Life Dues:

(45-54: $325)(55 to 64: $175)(65+: $100)

Signature:

Date:

            /           /

Name: (Print or Type)

Address:

City:

State:

Zip:

Tel:

(           )

E-Mail Address:

National Life Member #:

National Membership Type:

Life

o

Annual

o

Associate (non-qual)

o

Charleston Base Membership Type:

Life

o

Annual

o

Associate (non-qual)

o

Sponsor: (Associate Only)

Associate is:

Veteran

o

Spouse of Veteran

o

Other (specify)

o

Date Of Birth (MM/DD/YY):

          /           /

Date Entered Military (MM/DD/YY):

          /          /

Spouse:

Highest Rate/Rank Attained:

Retired (Y/N):

Active Duty (Y/N):

Qual Boat:

Hull#:

Qual Date (MM/YY)

From Yr.

to

Other Boats:

Hull#:

From Yr.

to

Hull#:

From Yr.

to

Hull#:

From Yr.

to

Hull#:

From Yr.

to

Hull#:

From Yr.

to

Hull#:

From Yr.

to

Next of Kin if other than Spouse

Name:

Relationship: (optional)

Address:

City:

State:

Zip: