REUNION ASSOCIATION
MEMBERSHIP APPLICATION FORM.(PLACE AN “X” NEXT TO THE APPROPRIATE LINE)
I hereby make application for Regular Membership ($22.00 first year, $20.00 thereafter)I hereby make application for a LIFE Membership ($150.00)
In addition to the above payment, I wish to donate an additional sum of $_______________________
to be applied to the USS Shangri-La Memorial Fund in my name: ____________________________
Please enroll my wife as a member of the USS Shangri-La Auxiliary
Woman’s Auxiliary dues are $5.00 per year.
Please make this a seperate check made out to:
USS Shangri-La Auxiliary
I served aboard the USS SHANGRI-LA during these years:1944 19_____ 19______ 19_____ 19_____ 19_____
NAME ____________________________________________________
ADDRESS ____________________________________________________
CITY ___________________________ STATE ________ ZIP __________
DIVISION/DEPARTMENT/SQUADRON: ___________________________
RANK/RATE _________________________________________________
WIFE’S NAME ________________________________________________
PHONE NUMBER ______________________________________________
“E” MAIL ADDRESS ____________________________________________
WEB SITE ADDRESS (URL) _____________________________________
In order to be placed on the Association’s mailing list and to receive quarterly newsletters, up-dated reunion information. This application must be submitted along with your dues payment. We do not maintain a mailing list for non-members. Please send your application today and re-join your fellow shipmates. We look forward to seeing you at the next reunion.
PRINT OUT THIS PAGE AND SEND IT TO:
USS SHANGRI-LA REUNION ASSOCIATION
P.O. BOX 1367 ALAQUIPPA, PA 15001
PHONE: 724-378-3244
