|
|
| Because this is where you find all
the Submariners.
This is where everyone understands what you do or did, and you understand them. This is common ground. Only Submarine Sailors need apply for regular membership. However, we also include provisions for Ladies Auxiliary and Associate memberships. Some things we do:
We also have a national print magazine, The AMERICAN SUBMARINER. It has news, sea stories, and articles of Submariner interest. Most USSVI Base's have a Newsletter (some in print, some on-line or both) with local Submariner information, sea stories, and meeting information. For more information on USSVI please take some time to browse through the entire USSVI website. Welcome Shipmate Click Here for Microsoft Word Format Application Click Here for Plain Text Format Application U
S S V I |
"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." |
Name (Last, First, M.I.,"Nick"):___________________________________________________________ |
|
Address:_____________________________________________________________________________ |
|
City, State, Zip________________________________________________________________________ |
| Phone #: Home: ____________________ Work:__________________ E-mail: ____________________ |
| Date of Birth: _____/_____/_____ . Enlistment date: _____/_____/_____ . Discharge date: ____/_____ |
| Total Years of service: ______ Retired(Regular)____ Retired(Reserve)____Highest Rank/Rate: _______ |
| Spouse's Name: ___________________________________ Spouse's birthday: _____/_____ (optional) |
| Next of Kin (name & address)(optional)____________________________________________________ |
| Qualifying Boat and hull number: _________________________________________________________ |
| Rank/Rate at qualification: __________________________________________ Date: _____/_____ |
| Other boat(s) and hull number(s): (If more, check here ____ and add to back of this page) |
| ______________________________________________________ ______(year) to
______(year) ______________________________________________________ ______(year) to ______(year) ______________________________________________________ ______(year) to ______(year) ______________________________________________________ ______(year) to ______(year) |
| Please check appropriate line below: ___ New Applicant Date: _____/____/____ ___ $40 First year membership ($30 National + $10 Annual Buffalo Base dues) ___ $10 Multiple Base Member (Annual Buffalo Base dues) ___ $100.00 National Life Membership (age 76 and older), plus $10 Annual Buffalo Base dues ___ $200.00 National Life Membership (age 66-75), plus $10 Annual Buffalo Base dues ___ $300.00 National Life Membership (age 56-65), plus $10 Annual Buffalo Base dues ___ $400.00 National Life Membership (age 46-55), plus $10 Annual Buffalo Base dues ___ $500.00 National Life Membership (age under 45), plus $10 Annual Buffalo Base dues ___ Dual Base Applicant - Primary Base: __________________________________ ($10.00 Annual Base dues) |
| "I subscribe to the creed of the United States Submarine Veterans, Inc. and agree to abide by all by-laws, regulations and procedures governing the U.S. Submarine Veterans, Inc., so long as they do not conflict with my military or civil obligations." |
| Signature: ___________________________________________________ Date: _____/_____/_____ |
| Please make checks payable to United States Submarine Veterans, Inc (Buffalo Base)
and mail with this application to: United States Submarine Veterans, Inc. - Buffalo Base - ATTN: Neil Bellenger, (Buffalo Base Treasurer) 1 Morningside Park, Pittsford, New York 14534-9707 |
| Rev. 3/30/06 |
Copyright (c) 2002 USSVI
Buffalo Base . All rights reserved.
webmaster@ussvibuffalo.org