Naval Weather Service Association

NWSA Membership Application Form

PDF Print File
To download the free Adobe Acrobat Reader,
go to http://www.adobe.com.

Mail to:
New Email: JIM STONE, NWSA Secretary/Treasurer
Effective August 20, 2007

NAME: ____________________________________________________
Rank/Rate: ____
Service: USN __USNR __USMC __OTHER __
Status : ACTIVE DUTY __RETIRED __RELEASED __
Address 1 : ________________________________________________________
Address 2 : ________________________________________________________
City : _____________________________________, State : ___ Zip Code ______-____
Home Phone Number: ( )_______-__________
Work Phone Number: ( )_______-__________
EMAIL Address : ____________________________________________________

New Member Dues

___ Active Duty Personnel - $0.00 Registration plus $20.00 Dues = $20.00
___ Others - Registration $10.00 plus $20.00 Dues = $30.00
___ Former members - Dues expired 1 year or more ... Same as "Others" above
___ Dues $20.00/Year
___ Life Membership $175.00
___ Scholarship Donation (IRS Deductible) Amount: $__________________
(indicate Current use or Principal)

And while you're not too busy . . . your history please!

Spouse's name:_________________________________________
Schools ATTD_________ (YR)____ Basic_____ (A) Advanced_____(B-C1-C7)______
USN Academy:_______ (Grad. Date) PG:__________ K& F_______
Last Duty Station:________________________________________
Entered Service :_____________ Left Service:_____________
Highest rank/rate:____________________ Date attained:______________

Make Check Payable to N.W.S.A.
Print form on your computer, Fill out and send with Check to:

Jim Stone, AGC USN RET
Email Webmaster for mailing address
Webmaster@NavalWeather.org