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, Nebraska
Islands In Another State ______________________ State:
________________
National Island At
Large _______________________________
Name__________________________________________________________________________________
Address:________________________________________________
City_____________________________________________________
State;_________________________ Zip ______________________
Phone_____________________________________
PlaceOf
Birth_________________________________________________
Date Of Birth__________________________
Unit(S) ServedWith:_________________________________________________
Discharge Date
________________________________
Type Of Discharge________________________________
Copy of DD214
Occupation:____________________________________
Wife’s Name
_________________________________
E-Mail Address:______________________________________________
Web Page:
__________________________________________________
Recommended
by_________________________________________________
Signature___________________________________________Date:___________________________________
Annual dues are $20 per year, July1 -June30. Payable at time
of application and each year thereafter on June 1.
If you are
applying for "Island At Large" the dues are $20 per year. Same time period as above.
Life Membership
rates based on age with the cost being:
18 to age 40
-------$180.00
41 to age
69--------$155.00
70 and over---------$130.00
Make Checks Payable To The Navy S.V.A.
RETURN TO:
Jim Miller, Secretary/Treasurer
Navy Seabee Veterans of America, Island, X-1,
1019 9th Ave.
Kearney, NE 68845
(308) 236-9279 or 440-9139 (Cell),
Email: millerjimjan@aol.com
To call national Secretary (Mel
Ramige) phone 309-699-7344; or Toll Free at 1-800-SEABEE-5
Email
Mel at : NavySVAsecy@worldnet.att.net