Associate Membership ApplicationAssociate Membership Application Date of Application * I hereby apply for associate 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. I am aware that, as an associate member, I do not have voting privileges nor may I hold an office within the organization but I may participate in all other association activities.Section Name * First Middle Init Last Name * Last Date of Birth First Name of spouse Address * City Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Email Home Phone Mobile Phone I wish to join the USS ALBANY ASSOCIATION for the following reason If a relative or friend served aboard an ALBANY, please provide as much of the following information as you know. Their relationship to you: They served aboard the USS ALBANY: * CA 123 CG 10 SSN 753 From: To: Department Engineering, Supply, etc. Division 1st, A, S-1, etc. Their highest Rank/Rate on the Albany was Their highest Rank/Rate of career was If now deceased, when did they pass away? Dues are $20.00 per year. 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 $20.00 first year dues, I will be enclosing a donation for the following: USS ALBANY Heritage Exhibit ALBANY Association's general fund For a total of $ I learned of the USS ALBANY Association through and/or was recruited by OPTIONAL PHOTOPlease attach a "head & shoulder" photo for inclusion in the Members Directory File Upload Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 2.1MBPrint footerMail Application to: Frank De Tura Secretary, USS Albany Association 1768 SE Port St Lucie Blvd Optional PhotoPlease attach a "head & shoulder" photofor inclusion in the Members Directory PrintMail Application & Check payable toUSS Albany Association, Inc.toSecretary Frank DeTura2105 SE Harding St.Port St. Lucie, FL 34952