TO JOIN OUR ASSOCIATION!

USS HANCOCK CV/CVA-19 ASSOCIATION

Membership Application Form filled out from Jake's 'Yankee Station' - USS Hancock CV/CVA-19 Memorial

Please Fill out the following Form and Print it out and then fill it out and send in to the perspective addresses

This is the Mail-In Association Application

If you wish to use PayPal®, then don't Print this Form, but go to the Association's Payment Page.

For Life Memberships, use this Form and Mail it in following the Instructions below.

This Form is also available as a Word Document Here. If you have no program to read a WORD Document,
You probably can open a
PDF file using the widely Circulated Acrobat Reader. You can find it in our Document Download's Section.


For a two-year membership, mail a $20.00 check payable to USS Hancock Association

For Regular new memberships send Application to:

Tom Wimberly, Membership Chairman
344 Palmetto St.
Corpus Christi, TX 78412-2738


For Life or Conversions to Life Memberships , send to:

Treasurer Don Yeggy
P.O. Box 159
Riverside, IA 52327-0159



Name ______________________________________________________________________

(If you are retired military, we would like to include your rate or rank and branch
of service with your name when we address you or list you in the roster)

Street Address ______________________________________________________________

City, State, Zip _______________________________________________________________

Wife’s name ____________________ Phone number ________________________________

Division or squadron, and rate or rank _____________________________________________

What years aboard (for example, 1969-71) ________________________

E-mail address if any _________________________________________

Hobbies or interests __________________________________________________________

*Life memberships Date of birth __________ Membership paid to _____________

Age ________ (Check your newsletter mailing label)

*Life membership Fees available as follows:

Age

&

Fee

55 & below   $250.00
56 - 60   $200.00
61 - 65   $150.00
66 - 70   $125.00
71 - 77   $100.00
78 - 84   $75.00
85 & above   $50.00

Credits when Converting from a Regular Bi-annual Membership to Life Membership

If you have paid your regular dues, you may have some credit applied to the above fees.

If your dues are paid to <Year> then Subtract this <Credit> amount from Your Life Membership Fee

Year - Subtract Credit

 
2009 - $10.00

2010 - $20.00

2011 - $30.00

2012 - $40.00

2013 - $50.00
2014 - $60.00

2015 - $70.00

2016 - $80.00

2017 - $90.00

Bi-annual Dues for a Regular, non-Life Membership is currently $20.00

Don't forget to include a check/money order application fee with your Application!!

The Hancock Association has Bi-Annual Reunions located at various venues around the country. For latest Reunion Details, you can click here for the Reunion Information.

The Association Membership Chairman will get in touch with you once your Application is received in his Office.

To Membership Chairman:

This Form was obtained on Jake's 'Yankee Station - U.S.S. Hancock CV/CVA-19 Memorial here - http://www.usshancockcv19.com/text/assnorderform.htm

For information send Jake Email: admin+usshancockcv19.com - Copy into clipboard and then paste in your Email Program. Make sure you replace + symbol with the 'at' symbol before sending. This helps to keep Email Spam Robots from capturing the email addess of Admin!

 

 
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