(print this form)

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USS LST 603 APPLICATION FOR MEMBERSHIP

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Name: __________________________________________________________________________

Wife's Name: _____________________________________________________________________

Rating, Rank, & Dates of Service: ______________________________________________________


Address: _________________________________________________________________________

City: __________________________ State: ________________ Zip: __________________

E-mail address: _____________________________________________________________

If retired, mark here: ___________

Dues Enclosed ($12.00 for one year): _____________


Return this card to:


U.S.S. LST 603

C/O CARL E. TREASTER

170 SATURN DRIVE

HANNIBAL, MO 63401-2397

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