1929  1948 USS SALT LAKE CITY CA25 ASSOCIATION MEMBERSHIP FORM from the USS SLC CA25 Website Join Today! We Need Your SUPPORT

DATE:____________________________2008-2009 _______________________________________________________________________ Names                               PLEASE PRINT ALL INFORMATION _______________________________________________________________________ Address _______________________________________________________________________ City/State/Zip Code _______________________________________________________________________ Phone Number                                                                         Email Address Check (X) all that apply: (  )Veteran   (  )Spouse/Widow   (  )Family Member   (  )Friend ****************************************************************************************************** Membership dues are $40.00 per year

Amount for Dues	$	year(s)
Amount for Booster Club	$	any amount you wish to donate
Amount for Preservation	$	of the USS SLC CA25 Memorabilia
TOTAL Amount of Check	$	Thank YOU!

Make your check out to the USS SLC CA25 Association and mail to: Albert A. Jowdy USS SLC CA25 Treasurer 13410 Holston Hills Drive Houston, TX. 77069 Home Phone #281-444-7272 ****************************************************************************************************** Date Enlisted in the Service:_________ Rate/Rank when retired____________ Date Reported On Board SLC:_________________Rate/Rank___________________ Date Departed SLC:____________________ Rate/Rank________________________ Division[s]on SLC_______________________________________________________ Make copies for family members, and return this form with your Membership Dues