Submit information about deceased USS Nitro crewmembers

Fill in the blanks below to submit the deceased crewmember's name.  The only blanks 
'required' to be filled are the DECEASED NAME and Date of Death fields. Thank you.


Your Name:	____________________________________
 
E-Mail:		____________________________________


Deceased Name:	____________________________________

Date of Death:	____________________________________     

Last City of Residence:	___________________________________
  
State:		_____		Country:    USA

Comments:  If known please enter, date of birth, years of shipboard duty, 
rating and division:
_____________________________________________________________________________






_____________________________________________________________________________

Email completed file to the Nitro webmaster at webmaster@ussnitro.org, or 
mail to the USS Nitro Association at;

USS Nitro Assocaition c/o Robert Peiffer PO BOX 1254 Mishawaka IN 46546-1254