MEMBERSHIP APPLICATION 
                      U.S.S. ENTERPRISE CV-6 ASSOCIATION 

REGULAR MEMBERSHIP: Issued to Officers and Men who served in U.S.S. ENTERPRISE CV-6
during her commissioned service, or her pre-commissioning crew. Your first time
payment of dues entitles you to a beautiful 17x24 inch parchment Certificate of
Membership. It includes your NAME, RANK or RATING, DIVISION/DEPARTMENT/SQUADRON,
and DATES OF SERVICE in CV-6. The ship's gallant war record is printed over a
silhouette of the ENTERPRISE in background. Additional certificates will be issued
for $7.00 each. The information supplied below will be used to engrave and process
your Certificate. Please complete #1 through #7.

ASSOCIATE MEMBERSHIP: Issued to immediate family members of REGULAR Members. Please
complete #1 through #3.

AFFILIATE MEMBERSHIP: Issued to other than REGULAR or ASSOCIATE Members. Please
complete #1 through #3.

#1 NAME________________________________________ SPOUSE_____________________

#2 ADDRESS_________________________________________________________________

#3 CITY____________________________ STATE____________________ ZIP__________

#4 RANK or RATING (Highest held while on board)____________________________

#5 DIVISION/DEPARTMENT/SQUADRON____________________________________________

#6 DATES ON BOARD:  From (Mo & Yr)______________ To (Mo & Yr)______________

#7 HAVE YOU RECEIVED YOUR CERTIFICATE PREVIOUSLY?  Yes_________ No_________

Dues:  First Application____________ Renewal____________

    $20 for two years. (The dues period is from one National Reunion to the next).
    $100 -- LIFE MEMBERSHIP

    Please allow a minimum of 8 weeks for delivery of certificate to REGULAR
    members.

    Membership Cards will be issued to all Members on receipt of dues, and Members
    maintaining dues current will be on our mailing list for issuance of CV-6
    Association Bulletins twice a year.

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PLEASE COMPLETE THE ABOVE AND MAIL  _THIS ENTIRE PAGE_ TO OUR TREASURER:

    Pauline Klopfenstein, 127 Lake Street, Walkerton, IN., 46574

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(If a shipmate has passed away, we respectfully request a family member or
friend to notify us so that we may record it in our records.)

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For Association Use:  Date Certificate Issued________ Next Dues Date_______