USS Higbee Association Membership Form

                            Please provide the following contact information:

First Name
Middle Initial
Last Name
Street Address
City
State
Zip Code
Years on board
Rate/Grade/Division
Spouse-Significant Other
E-mail Address
Comments

                       

                                              Annual Memberships dues are $20.00
                              Please make checks payable to the:  USS Higbee Association

                                   Fill in and print out this form. Mail it with your check to:
                                                                   Gil Rodello
                                                                   P. O. Box 1554
                                                                   Springfield, OR  97477