USS NAVARRO (APA-215)
REUNION ASSOCIATION
ANNUAL DUES FORM
It is requested that this form be completed to help keep the membership roster up to
date and as accurate as possible. Please make checks payable to USS NAVARRO
ASSOCIATION and return this form with your dues to:
Vernon Jackson
6509 54th Ave. NW,
Gig Harbor, WA 98335.
vernonjackson@att.net
(253) 851-5195
NAME:_________________________________________________________________
SPOUSE:_______________________________________________________________
ADDRESS:______________________________________________________________
CITY,STATE,ZIP CODE:_________________________________________________
HOME TELEPHONE NUMBER:___________________________________________
CELL TELEPHONE NUMBER:____________________________________________
EMAIL ADDRESS:_______________________________________________________
HIGHEST RANK/RATE HELD ONBOARD USS NAVARRO:__________________
DATES OF SERVICE ONBOARD USS NAVARRO:__________________________
RETIRED USN RANK/RATE:_____________________________________________
RETIRED USNR RANK/RATE:____________________________________________
DUES FOR ONE YEAR $15.00:__________________________
DUES FOR FIVE YEARS $70.00:_________________________
DUES FOR PAID UP LIFE MEMBERSHIP $130.00:_________