Membership enrollment form

Membership Enrollment
I hereby apply for membership in the USS ALBANY ASSOCIATION. The following information is provided for association records and may be shared with fellow members of the association only.

Contact

First
Middle
Last
Address
Address
City
State/Province
Zip/Postal

Service

Which ship did you serve aboard?
Start date of service
End date of service
Engineering, Supply, etc.
1st, A, S-1, etc.
Are you currently serving aboard the USS Albany SSN 753?
Are you currently on active duty?
I will be:

Other branches served in

Leave empty if not applicable.
I served for
years in the

Membership Dues

$20 per year

NOTE: Personnel serving aboard the SSN 753 are exempt from paying dues. All other active duty personnel are required to pay dues.

The first year dues must accompany this application. Please note that the association's fiscal year is September 1st through the following August 31st. Those that join the association prior to May 1st will be required to pay dues again September 1st of the same year.

Those that join between May 1st and August 31st will not be required to pay dues again until September 1st the following year.


In addition to my dues, I am enclosing a donation for:

$
$
$

Mail Application & Check payable to

USS Albany Association, Inc.

Secretary Daniel Cella

262 Cindy St

Old Bridge, New Jersey  08857