Check One: New Member or Renewal
For new members, please fill out form completely.
For renewals, just supply name and any changed information.

Full Name: .. Nickname(optional)

.. Name Spouse

Year(s) on the Gal(eg 62-65): .... Rating/Rank

... Division:

Address: Street Apt#

City , State , Zip

Email Address: ... Phone:

Now Print!

To print go to top left corner of browser select File and then select Print
After Printing, Return to Website by clicking on Anchor:

Mail printed form along with check:
payable to USS Galveston Shipmates Association TO:

Thomas (Soupy) Campbell
310 Monroe Ave
Beverly, NJ 08010-1822