Check One: New Member or Renewal
For new members, please fill out form completely.
For renewals, just supply name and any changed information.

Full Name: .. Nickname(optional)

.. Name Spouse

Year(s) on the Gal(eg 62-65): ....Last Rating/Rank

... Division:

Address: Street Apt#

City , State , Zip

Email Address: ... Phone:

Now Print!

Mail printed form along with check:
payable to USS Galveston Shipmates Association TO:

Bob Bakos
2826 Custer Ave
Pittsburg, PA 15227

And don't forget to register a Shipmate Profile