USS Yosemite Association
Membership Application

Name: ________________________________________ Spouse: _______________

Street: ______________________ City: _______________ State: ____ Zip: ______

Telephone:  (___) _____________   Member of US Navy Memorial?   Yes__ No__

Date of Birth: ____________ Place of Birth:_________________________________

Civilian Occupation: ____________________________________________________

E-mail address: _________@_____________________________________________

Ship's Names and dates served:

USS YOSEMITE from ____________________ to _____________________________

_____________________________________________________________________

Yosemite Rank/Rate:___________ Yosemite Division: ________________________

Military Service dates from: _______________ to ____________________________

Total Length of Service: __________________ Retirement Rank/Rate: ___________

Additional Information (Hobbies, interests, comments):_______________________

_____________________________________________________________________

_____________________________________________________________________
 

Lifetime Amounts

AGE

DUES

25 – 29

$335.00

30 - 34

$307.00

35 – 39

$280.00

40 – 44

$252.00

45 – 49

$225.00

50 – 54

$197.00

55 – 59

$170.00

60 – 64

$142.00

65 – 69

$115.00

70 – 74

$ 87.00

75 – 79

$ 60.00

80 – 84

$ 32.00

85 & Up

$ 15.00
Membership officially runs from January 1st
through December 31st.
Send this application along with the $15.00 annual membership fee to:
 
USS YOSEMITE ASSOCIATION
James J McWaters, Secretary
2068 Urbine Road
Powhatan, VA 23139-7914