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USS Brownson Association

Year 2007 Membership Application

Full Membership is open to all men who served on the USS Brownson (DD-868) during her 31 years of active commissioning on November 17, 1945 to de-commissioning on September 30, 1976, and those who served on the first USS Brownson (DD-518).

Associate Membership is available to widows and/or other immediate family members of a deceased former member of either of the ships companies.

Dues in the Association are as follows:
Annual Membership = $10.00
Life Membership = $100.00
Check One:
New Application ____
Renewal Application ____
Check One:
Annual Membership @ $10.00 for year 2007 ____
Life Membership @ $100.00 for Life ____
Note: Current Life members need not submit an annual application unless address or telephone number changes.
Name 
    Last First Middle
Mailing Address 
    Street or P.O. Box City/Town State Zip Code
Phone (         )    Email 
Name of Spouse or Immediate Family Member 
Address if different than above 
    Street or P.O. Box City/Town State Zip Code
Phone (         )    Email 

If the following information has been previously provided, please do not repeat.
Years on Board    Rate/Rank on Board 
Major Cruises (i.e. South Pole, Med, Far East, etc.): 


Signature
Date
Print this form and mail with check payable to USS Brownson Association to the Membership Chairman:

Mr. Paul J. Serabian
61 Corey Rd.
Groton, CT 06340
Telephone: (860) 448-0063
Email: PaulSerabian@ussbrownson.com