APPLICATION FOR MEMBERSHIP
NAVY SEABEE VETERANS OF AMERICA

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