USS Charles P. Cecil DD/DDR-835 Association

Application for Membership

NAME:

Last: _______________________________
First: ______________________________
Middle: _____________________________

TOUR DATES:

From: ________ TO: __________

RANK or RATE: _______________

ADDRESS:

Street:   ______________________
City:     ______________________ 
State:    ______________________
ZIP Code: ______________________

EMAIL ADDR: _________________________

ANNUAL DUES: $25.00 Cecil Shipmates | $10.00 Wives & Friends

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MAIL TO: 

         USS Charles P. Cecil Association, Inc.
         34 Woodcrest Drive
         Hauppague, NY 11788

Note: 
Please enclose check or Money Order
made payable to: USS Charles P. Cecil Association, Inc.
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