Membership Application
USS WASHOE
Name .......................................................................................................
Street .......................................................................................................
City ..........................................................................................................
State.......................................... Zip Code.................................................
Phone Incl. Area Code....(.........).................................................................
E-Mail Address ..........................................................................................
Rank/Rate..................................................................................................
Dates Served in the
Pre Viet-Nam __________Viet-Nam _____________
"I hereby acknowledge and agree that all members of the USS Washoe County LST 1165 Association will be provided periodic listings of members and known shipmates, including my own contact information. These listings are distributed for the sole purpose of assisting fellow shipmates keep in contact and further, these listings may not be used for any commercial or other purposes. Maintenance of Members' and known other shipmates' contact information is necessary for the USS Washoe County LST 1165 Association to perform necessary functions including, but not limited to distribution of newsletters, reunion information, and other information considered appropriate for distribution by the elected officers of this association. This authorization will remain in effect until such time as specifically canceled by my written request."
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(signature) (date)
"Personnel not wishing their information to be distributed to other USS Washoe County LST 1165 Association members may opt out of such distributions by signing the statement below:
"I _______________________do not wish my contact information to be distributed to anyone other than the officers of the USS Washoe County LST 1165 Association. Elected officers are restricted in use of my information to official mails and contacts authorized solely by such association officers."
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(signature) (date)
Dues are currently $20.00 per year. Mail your check or money order with the completed application to:
Joe Harvill, Treasurer
U.S.S. Washoe County LST1165 Association
6277Hawthorne Road
Bartlett, TN 38134