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USS Nitro (AE-2/AE-23) Association MEMBERSHIP FORM
Year: ____2008____ Checks payable to: USS NITRO ASSOCIATION
(Jan - Dec)
required information *
Print Name:* __________________________________
Address:* __________________________________
City:* ____________________ State:* ____ Zip:* __________
Spouse's First Name: ______________________
Phone: ( )___________________ email address: _________________________________
Nitro Tour Yr _______ Yr________ AE-2/AE-23 Rank/Rate: _____________
Division: _________________________
Military service dates from ____________________ to ____________________
(mm/dd/yyyy) (mm/dd/yyyy)
CREWMEMBER dues __________ (how many?) x $24.60 ($20.00 + $4.60 s/h) _________
Additional _____ Association Challenge Coin(s) @ $10.50/per (includes s/h) _________
ASSOCIATED dues __________ (how many?) x $14.50 ($12.50 + $2.00 s/h) _________
TOTAL __________
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