USS Knox (DE/FF 1052) Reunion Association
Membership Form

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Required fields are in RED

 First Name: MI: Last Name:

 Address 1:

 Address 2:

 City:   State:    Zip:

 Home Phone:   Business Phone: Cell Phone:

 Email Address: Spouse's Name:

 Dates of Service Aboard Knox in 2 digit month/4 digit year format (include the slash):   to  

 Your Rank/Rate Aboard Knox:  

 Your Rank/Rate at Time of Discharge/Retirement:

 Does your spouse wish to be a member? Yes No

 How did you find the USS Knox Reunion Association website?

 If you chose "Other" above, please describe:

I/We do hereby apply for membership in the USS Knox (DE/FF 1052) Reunion Association, Inc.
(choose one from the drop-down list):

 Membership Type (see below):  

Membership Types Defined: Dues:
Member in Good Standing - Dues paying former crewmember or spouse. Has voting privileges. Waived
Member at Large - Non-dues paying former crewmember. No voting privileges. None
Widow - Spouse of deceased former crewmember. Has voting privileges. Waived
Honorary - Honored by quorum vote or appointment by the Association directors or members. No voting privileges. None

For security purposes, enter the code exactly as it appears in the image to the left: Note: failure to enter it properly will erase all data in the form and it will not be submitted!

Your application will be sent to the USS Knox (DE/FF 1052) Reunion Association Webmaster when you click on the Send Application button below. PLEASE do not double-click the Send Application button.


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