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Association Membership Registration Form PDF Print E-mail
Written by Shipboard Office   
Monday, 08 October 2007

Thank you for purchasing or renewing your membership in the USS Yorktown CV-10 Association, Inc. To keep our records current and ensure you receive the full benefits of your membership, we need to collect the following information. Please complete the form below. When you are done, please press "Send Registration" at the bottom. If you have any questions or concerns, please give us a call at 843-849-1928.

Association Membership Registration Form

New or Renewing Member *

 When you purchased your membership online today, were you joining for the first time or renewing an existing membership?

Crew or Associate Membership *

 Did you join as a crew member, or as an associate member (family or friend of the crew and/or ship)?

Annual or Lifetime Membership *

 Do you renew annual or did you purchase a lifetime membership?

Membership Number

 If you are an existing member, please enter your membership number (located on your membership card).

Title

First Name *

Last Name *

Mailing Address *

 (include Apt # if applicable)

City *

State *

Zip or Postal Code *

Daytime Phone Number

 ex: 123-456-7890

Spouse Name

E-mail Address *

 Please enter the e-mail address where you prefer to receive our online newsletters, member correspondence, etc.

Rank or Rate if USN or USN RET

On which designation did you serve

Dates of service aboard the Yorktown

 Please be as specific as possible (example: March 1950-June 1951)

Division - Squad Assignment

Submit my registration information *

Last Updated ( Thursday, 02 September 2010 )
 
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