JOIN THE FLEET RESERVE ASSOCIATION TODAY!
1. Print this page. 2. Fill out the form. 3. Mail completed form with payment to:
FLEET RESERVE ASSOCIATION
125-N. WEST STREET
ALEXANDRIA, VA. 22314-2754
MAKE CHECKS AND MONEY ORDERS PAYABLE TO THE
FLEET RESERVE ASSOCIATION.
1. Print this page. 2. Fill out the form. 3. Mail completed form with payment to:
FLEET RESERVE ASSOCIATION
125-N. WEST STREET
ALEXANDRIA, VA. 22314-2754
MAKE CHECKS AND MONEY ORDERS PAYABLE TO THE
FLEET RESERVE ASSOCIATION.
MEMBERSHIP APPLICATION - SAN MIGUEL BRANCH 367
I certify that I fulfill all eligibility requirements, and want to join the FRA.
NAME: __________________________________________________________________RATE/RANK: ______________
ADDRESS: _________________________________________________________________________________________
DATE OF BIRTH: _____________________SSN: _______________________PHONE: _(_______)________________
SERVICE: ____________STATUS: _____________ MEMBERSHIP PREFERENCE BRANCH NO: 367
PREVIOUS FRA MEMBER? YES NO IF YES, PREVIOUS MEMBER NO: __________________________
RECRUITED BY: _______________________________MEMBER NO: ___________________BRANCH: __________
SPOUSE'S NAME: _____________________________YOUR E-MAIL ADDRESS: ____________________________
APPLICANT'S SIGNATURE: ________________________________________________DATE: __________________
DUES: (CIRCLE) 1 YEAR - $30.00 2 YEARS - $57.00 3 YEARS - $85.00 5 YEARS - $135.00
(note: New Members - Two year membership - $48.00)
PAYMENT OPTIONS: (CIRCLE) M.C. VISA DISCOVER AMER. EXP. CHECK OR MONEY
ORDER ENCLOSED
CREDIT CARD NO ________________________________________________________
EXP DATE ________________________________________________________________
SIGNATURE ______________________________________________________________
| Thank you, SHIPMATE, for joining SAN MIGUEL BRANCH 367 - "The Hardest Working Little Branch in Asia" Contact us, and let us know you've joined our family. |
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