U.S.S. William R. Rush
(DD/DDR-714)
Association
(Annual Membership = $20.00)
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:
Mail completed application to:
Please Enclose:
career duty stations,
hobbies, interests, current employment,
sea stories/fairy tales...etc...
whatever you like.
Jim Hocking, Treasurer
USS William R. Rush Association
65 Currier Road
East Falmouth, MA 02536
Check for $20.00 (Shipmate - 1 year)
Check for $10.00 (Associate-Spouse)
Check for $30.00 (Shipmate & Spouse)
Welcome Back Aboard!
(Please print page 1 and mail)
