Destroyer Escort Sailors Association - DESA

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DESA Membership Form

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Please print this form and fill in the information

First Name
______________________________
Last Name
______________________________
Rate/Rank
______________________________
Street Address
______________________________
City
______________________________
State/Province
______________________________
Zip/Postal Code
______________________________
Country
______________________________
Home Phone
______________________________
Work Phone
______________________________
Email Address
______________________________
Webpage URL
______________________________

 

Tell Us About Your DE
If you are joining as an Associate Member, please provide information about your husband's/family member's DE service

DE Name ______________________________
DE Number ______________________________
Dates In Service ______________________________

Did someone tell you about About/Encourage You to Join DESA? If yes, please tell us their name:

_____________________________________________

Please Select One of the following:

Yes, I want to join DESA
[  ] Member
[  ] Associate Member
[  ] Sustaining Member

Please include a check or money order
* One Year Membership $30.00
* Two Year Membership $48.00
* Three Year Membership $67.00
* Life Membership $200.00

[  ] I do not wish to join DESA at this time. Please send me more information and a free copy of DESANews

Mail this form and membership fee to:

DESA
P.O. Box 488
Henderson Harbor, NY 13651

1-800-603-3332
Fax: (315) 938-7010

Thank You and Welcome Aboard!

 
 

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P.O. Box 488
Henderson Harbor, NY 13651
1-800-603-3332
Fax: (315) 938-7010