Membership Application
USS L. Y. SPEAR (AS-36) Association

For more information on the memberships, go to http://www.usslyspear.org/Association.htm

Have questions? Contact us at (913) 677-1837 or pattykelso@usslyspear.org

LAST NAME
Your answer
FIRST NAME
Your answer
If different, LAST NAME while assigned to the SPEAR
Your answer
SPOUSE
(First & Last Name)
Your answer
EMAIL
Your answer
BIRTHDAY
MM
/
DD
STREET / P.O. BOX
Your answer
CITY
Your answer
STATE
Your answer
ZIP CODE
Your answer
PRIMARY PHONE
Your answer
ALTERNATE PHONE
Your answer
YEAR REPORTED TO SPEAR
YEAR LEFT SPEAR
Highest RATE/RANK while aboard
Example: MMFN, SN, SK2, LTJG, etc.
Your answer
Ship's Division / Shop / Office
Your answer
Plank Owner
DUES
Life Membership
Regular & Associate* Membership (1 Year)
Additional Years ($15.00 x each year)
(Select the number of years to extend your Regular/Associate Membership)
*Name of Associate Member's Sponsor
Your answer
Former Commanding Officer:
Widow/Widower** Honorary Membership
**Name of Crewmember
Your answer
Payment
You understand that by submitting this online Membership Application that you will be sent an invoice to pay with either a credit/debit card or PayPal account. You agree to pay the invoice upon receipt.
Required
Submission
You must click on "Submit" to apply for membership.
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