Simply print and fill out the form below and mail it along with your
check for either life membership ($50) or annual membership ($10)
to our treasurer, Claire Bloom, at the address shown on the form.

USS CARD (CVE-11) ASSOCIATION Application Form Name: ____________________________ Wife's Name: __________________ Address: ________________________________________________________ City: ___________________________ State: ____________ Zip: ___________ Telephone: (_____)_____________ Rate/Rank: _______ Div. Sqdrn: _______ Name of Card Crewmember: _______________________________________ Your relationship to Card Crewmember: _____________________________ Life Membership: $50.00 _____ Annual Membership: $10.00 _____ MAIL CHECK TO: Claire Bloom; 1976 School St.; East Meadow, NY 11554-2526 Make checks payable to USS CARD ASSOCIATION

(Cut out form along dotted line.)

If you have any questions about joining the
USS CARD ASSOCIATION, please email us.

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