elsie item issue 80 dec 2012 - USS Landing Craft Infantry National ...

USS LCI NATIONAL ASSOCIATIONAPPLICATION FOR MEMBERSHIPOur membership is open to anyone who served in Landing Craft, Infantry, during WWIIor anyone else interested in our small ships and the men who served aboard them.Please complete this form and mail it to the address indicated below with your first year’s dues.DUES ARE $25.00 PER YEAR, June 1 through May 31.I. For application as a LCI Veteran:Name______________________________________________________________________________________Which LCI did you serve on?___________________ What was your Rank/Rate?____________________Address:___________________________________________________________________________________City: _______________________________________ State:__________ Zip:_________________________Date of Birth:________________________________ Phone #:________/____________________________E-mail address:_____________________________________________________________________________Occupation or Former Occupation: ____________________________________________________________Wife’s Name________________________________________________________________________________II. For Application as a Relative or Interested Person:Name______________________________________________________________________________________Address:___________________________________________________________________________________City: _______________________________________ State:__________ Zip:_________________________Date of Birth:________________________________ Phone #:________/____________________________Are you related to someone who served on an LCI? o Yes o NoIf so, what is the relationship? (i.e. father, grandfather, uncle, etc) _______________________________What is/was his name? _____________________________________________________________________On which LCI did he serve? ____________________(If unknown or if you do not have a relative who served on an LCI, leave blank)Please send this application with your check ($25) made payable toUSS LCI NATIONAL ASSOCIATION to:USS LCI National Associationc/o Nehemiah Communications, Inc.101 Rice Bent Way, Unit #626 | ELSIE ITEM | December 2012