USS William R. Rush (DD/DDR-714)
Association

(Annual Membership = $25.00)


Name:______________________________________________________________


Address:___________________________________________________________


___________________________________________________________________


City:______________________________________State:_______ZIP:_______


Telephone:(_____)_____-________

Spouse's Name:________________________


***** E-Mail: ________________________________________________ *****


Served on-board: From:______________ 19_____ To:______________ 19_______


Department:_____________ Division:_______________ Rank/Rate:_____________


Use reverse side or additional sheet(s) for details such as:
career duty stations, hobbies, interests, current employment,
sea stories/fairy tales...etc...
Whatever you like.


Mail completed application to:
Dennis Knoerzer, Treasurer
USS William R. Rush Association
1057 Golden Orchard Drive
O'Fallon MO 63368-7990

Please Enclose:
Check for $25.00 (Shipmate - 1 year)
Check for $10.00 (Associate-Spouse)
Check for $35.00 (Shipmate & Spouse)

Welcome Back Aboard!
(Please print this page, complete the form, enclose the check and. mail!)



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