USS Joseph Strauss DDG-16 Association

2448 Ellington Road

Gerry, NY 14740-9507

Telephone (716) 985-4273

 

Application to join the Association

Annual membership dues are $20.00

    Print out this application to use conventional mail. Enclose a check or money order for $20.00 made out to the USS Joseph Strauss Association and mail to the address above.

Print This Page

    If you choose to submit this application online, after the application is submitted you will be taken to a page where you can pay your dues online if you wish. You do not need to be a dues paying member to have your information included in our shipmate registry. You can submit the information for our records now and pay your dues later if you wish.

Please provide the following information:

Is this a new application or an update of information previously submitted?

New Application
Update

Name (Last, First, MI)   
Address - Street  
Street #2
City
State
Zip  
Phone  
Email  

Your division:

 

Other divisions attached to:


Rank or Rate:

 

Are you a Plank Owner?

Yes
No

Were you a member of the Decommissioning crew?

Yes
No

Years on board:

Arrival Month/Year

-- mm/yyyy

Departure Month/Year

-- mm/yyyy

Nickname while on board:


Retired Navy?

Yes
No

Date retired:

-- mm/dd/yyyy

Rank/Rate at retirement:


Occupation since leaving Navy:


Married?

Yes
No

Spouse's name:


Would she be interested in our Ladies organization?

Yes
No

            Thanks and welcome aboard once again!
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