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Tin Can Sailors Membership Application Form
Please mail your registration form to: Tin Can Sailors, P.O. Box 100, Somerset, MA 02726
Questions? Call us at (800) 223-5535 or contact us via e-mail at: tcs@destroyers.org

Name: ______________________________________________________________

Address: ____________________________________________________________

City: _______________________________ State: ____   Zip: __________________

Telephone: ( _____ ) ______ - __________     Highest Navy Rank or Rate:________

Email: _______________________________________________________________

______________________________________________________________________________

List up to four ships you served on and the years you served aboard each:

USS _______________________________ Hull #: __________ From: _____ to _____

USS _______________________________ Hull #: __________ From: _____ to _____

USS _______________________________ Hull #: __________ From: _____ to _____

USS _______________________________ Hull #: __________ From: _____ to _____


Membership:
__ $30   __ $35   __ $50   __ $100
                    
__ Currently on Active Duty first year free - after that $10 per year

Lifetime Membership: Call (800) 223-5535 for information

Please Select Payment Type:    ___ Check ___ Money Order ___ Credit Card

If paying by credit card, please provide the following information:

Card #: _______ - _______ - _______ - _______     Exp: ____ / ____     Security Code: ______

Billing Address (if different from above):

     Name: __________________________________________________________

     Address: ______________________________________________________________

     City: _______________________________ State: ____   Zip: __________________

Recruited by: ____________________________________________________________

Address: ________________________________________________________________

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