APPLICATION FOR MEMBERSHIP
Return by Mail to: SEAWOLF ASSOCIATION
C/O William R. Simpson
625 N. Neel St.
Kennewick, WA 99336
wrseawolf5@msn.com
Ph: 1-509-783-2031
Name:___________________________________________________________
Address:________________________________________________________
City:_________________________________State:_______Zip:_________
Phone:(_______) ___________________ E-MAIL: ____________________
ELIGIBILITY
1. Must have served with the SEAWOLVES, SEALORDS, or FASU BINH THUY to
become a REGULAR or LIFETIME member
2. ASSOCIATE MEMBERS may be any person who was affiliated with the above
listed organizations or who has and interest in the organization or what
it stands for.
3. FAMILY MEMBERS of those Killed in Action or who have died since returning
from Vietnam are eligible as long as they wish to be affiliated with the
organization.
MEMBERSHIP TYPE LIFETIME --$250.00 - Full Privileges
(Life Membership may be paid with five consecutive quarterly payments of $50)
REGULAR - Dues $25.00 per year, Full Privileges
ASSOCIATE - Dues $25.00 per year, No Voting Privileges
FAMILY - $10 per year, no voting privileges
BACKGROUND INFORMATION
Dates in-country__________________________Detachments(s:________________
Rank/Rate then:_________________________________________________________
Present Occupation:_____________________________________________________
Special Skills:_________________________________________________________
Willing to Help (Y/N)?_____If "Yes", how?_____________________
How did you hear of the Association?_____________________________________
Comments________________________________________________________________
"I certify that all of the above information is true to the best of my knowledge and
belief; and that I am elegible in all respects for the membership type applied for."
Signature______________________________Date:________________________
Approved:____________________________
Title:________________________________ Date:___________