Application for membership to U.S.S POWER ASSOCIATION
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NAME   __________________________________

ADDRESS   ______________________________

CITY   ___________________________________

STATE _________________________________

PHONE ___________________________

EMAIL__________________________________

DATE REPORTED ABOARD________________
MONTH__________________
YEAR__________________

DATE TRANSFERED________________________

RATE WHEN ABOARD______________________

SPECIAL INTREST_____________________

MAIL TO:
BOB PULASKI
43 SEA  LANE  PALMETTO  DUNES
HILTON  HEAD, SC. 29928

DUES $20: MAKE CHECK PAYABLE TO USS POWER DD 839 ASSOC.
Dues are from 1 Jan, to 31 Dec. Due on Jan1
Send dues to:

BOB PULASKI
43 SEA  LANE  PALMETTO  DUNES
HILTON  HEAD, SC. 29928

Bob Pulaski's Email andrew43@hargray.com


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