(Street, City and State Zip Code + 4)
SERIAL NO.___________________________SS#____________________________BIRTHDAY:_______________________
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| ENTERED ACTIVE SVC:___________________________________LEFT ACTIVE SVC:____________________________ |
(Date and Place) (Date and Place)
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DATES OF RESERVE DUTY - FROM:_______________________________TO:___________________________________
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HIGHEST RANK/RATE:_____________________________BRANCH OF SERVICE:________________________________
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OCS/BOOT STATION:___________________________________________________________________________________
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| TRAINING SCHOOLS(S):________________________________________________________________________________ |
| (If more space needed list on back) |
PRIMARY DUTY STATION:______________________________________________________________________________
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HIGHEST FORMAL EDUCATION AND SPECIAL TALENTS:__________________________________________________
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SPECIFY INFORMATION YOU WISH OMITTED FROM NATIONAL ROSTER:__________________________________
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| ID#:___________________________________REFERRED BY:___________ONCEAWAVE.ORG______________________ |
(Not to be filled in by applicant)
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ANNUAL DUES $10.00 FOR PERIOD 1 JANUARY THRU 31 DECEMBER
Regular membership shall be limited to women who have served in the U.S. Navy,
U.S. Naval Reserve or other military sea services and who can show PROOF OF
HONORABLE SERVICE (COPY OF DISCHARGE, SEPARATION PAPERS, OR
CURRENT CONTRACT).
New members joining thru a local unit, make a check for Local & National dues payable to
The Unit. Unit Treasurer will mail to the National Treasurer with proof of service and application.
MEMBERS-AT-LARGE MAKE A CHECK PAYABLE TO WAVES NATIONAL AND MAIL TO THE
NATIONAL ASSISTANT TREASURER
GLORIA GALATI
16547 S. REDROCK DRIVE
STRONGVILLE, OH 44136
Dues include subscription to "WHITE CAPS" which is published six times a year.
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