Mailing Address:_______________________________________________________________

City:_______________________________State:_____________________Zip:_____________

Telephone Number @ Home: (___) ______________ @ Work: (___)_____________

Email Address:________________________________________________

(Name, Address and Email are published in the Directory. If you do not wish for your information to be published, please contact the Association.)

__ Renewal - Please use the following sections to correct or complete your information.

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	___New Regular Member - I graduated from __NCDU, __S&R, __UDTR(B), or __BUD/s training. Class Number _________ on or about (date)______________________(We will verify for you). I trained in: __________Fort Pierce; __________Maui; __________Little Creek; __________Coronado. I was assigned to the NSW community as a Corpsman during the RVN era:__________________. My first team assignment was:___________________________.
	___New Associate Member - I now serve or have served supporting the NSW Community in a UDT, SEAL, or SDV Team; Special Boat Squadron/Unit/Team (SWCC Class Number___); NSW Command, Group or Unit; SOCs, CNO, BUPERS, SYSCOMS or other staff . I served in (unit)_________________from _________________to _______________.
	_
	__New Legacy Member - I am an immediate family members of (name)_______________________ who served as a Frogman/SEAL or Combatant Crewman. His class number and/or command(s) are: ____________________________: the dates of service:_________________________My relationship is ____________________________.
	___New Sponsored Member - I have not served in the NSW Community but have contributed or possess the potential to make significant contributions to the NSW Community – explain on back. Sponsored members require Regular Member sponsorship and approval by the Board of Directors. Signature of sponsoring Regular Member:_____________________________.

Membership:	___Annual Membership for $50.00
	___Lifetime Membership for $800.00	___Lifetime Payment Plan
		($100 per month for 8 months, credit card only)

Payment:	___Cash	___Check or Money Order payable to the UDT-SEAL Association
	___Visa	___Mastercard	___Please renew annually in January
		___American Express

Credit Card Number:	___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Expiration Date (Mo/Yr):	___ ___/___ ___
	____________________________________________________
	Card Holder's Signature

Dues may be paid at anytime, but the annual membership period is 1 January to 31 December. To receive all four editions of the Blast, you need to renew by January. New annual members joining after 1 October of the current year will receive memberships valid for the following calendar year. Membership will not be granted or renewed without the above information. A $5.00 administrative fee is charged for renewals and new applications at the Reunions. A $25.00 fee will be charged for returned checks.