2007 Membership Application

Name: Social Security Number: --

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 update or correct your information.

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:.

Associate Member - I now serve or have served supporting the NSW Community in a UDT, SEAL, or SDV Team; Special Boat Squadron/ Unit/ Team; NSW Command, Group or Unit; SOCs, CNO, BUPERS, SYSCOMS or other staff . I served in (unit) from to .

Legacy Member - I am an immediate family member of (name) , who served as a Frogman/SEAL or Combatant Crewman. His class number and/or command(s) are: . The dates of service are: . My relationship is . Son Second Grandchild Brother Sister Mother Father Select

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. Sponsored members require Regular Member sponsorship and approval by the Board of Directors. Sponsoring Regular Member must submit a written recommendation. Sponsored membership applications must be accompanied by a detailed explanation of contributions and the signature of regular member of the UDT-SEAL Association, therefore these applications must be mailed or faxed to the Association. Please use the mail/fax form.

Membership Fees

Annual Membership for $50.00

Lifetime Membership for $800.00

Lifetime Payment Plan ($100 per month for 8 months, credit card only)

Payment

Visa Mastercard American Express Please renew Annually in January via Credit Card

Credit Card Number: Expiration Date (mo/yr):/

If you would like to pay by check, money order or cash, please use the mail-in application form.

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.