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USS St. Louis (CL-49) Association
MEMBERSHIP ENROLLMENT and INFORMATION UPDATE FORM

PLEASE PRINT THIS PAGE, FILL INFORMATION AND MAIL TO EDITOR JONES

"Mailing Information needed for Hubble-Bubble delivery"
Return this form (filled in) to Hubble-Bubble Editor, Jack R. Jones * 1112 N. 18th St,* Cambridge, OH 43725, * (740) 432-5305,   or  email me at:  jriones79@roadrunner.com
 

Yearly $10.00 dues payable by January 1st.- Lifetime membership $50.00 Make Dues check payable to "USS St. Louis (CL-49) Association"

Crew Member (Your) Name:

Year you came aboard St. Louis Year detached from St. Louis

Battle Station World War II hometown

Rank/Rate on board St. Louis Highest Navy Rank/Rate:

Division (s) you were in:

Birth date

Your "Spouse"  First name:

Applicant Signature:

"if applying for Associate membership, your Relationship to Shipmate": Son / Daughter / Grandson / etc.

Home Address (your current)

Address: City,  State and  Zip code

Phone: (        )

Email:

If you don't have your own email, please consider giving the email of a friend or relative that will inform you of a message from the Hubble-Bubble editor. Thank you!

The above E-Mail Address belongs to: