| USS OKANOGAN APA220 ORGANIZATION MEMBERSHIP APPLICATION |
| Annual Dues are $20.00 |
| Full name: ______________________________ Rate: ______________ |
| Address: _____________________________________________________ |
| City: _________________ State:____________ Zip: _______________ |
| What years were you aboard??_________________ Division:_________ |
| Phone number: (_____)- _______-___________ |
| Cell Number: (_____)-_______-___________ |
| E-Mail address:_____________________________________________ |
| Married???________ Wife’s name: ____________________________ |
| For the year 2011 in the Okanogan Organization. I understand that I may pay my annual dues of $20.00 in advance and further that I may pay the dues for a deceased shipmate. I agree to abide by all rules and by laws of the Okanogan Organization in effect at this time. For my membership I understand that I shall receive The New Rendezvous containing all notices of future Reunions, letter from shipmates and an annual membership card. |
| Signed: _____________________________________________ Date: _______________ |
|
For the above, fill out the form, MAKE CHECK out to the Okanogan Organization and mail to: The Okanogan Organization 7750 E. Broadway # 559 Mesa, AZ. 85208-1364 Phone 480-357-1724 E-mail: harvhochhalter@juno.com |
| Include a short BIO if you wish: |
| 9-24-2010 |
| HRH |