LRmembership

First Name

M. I.

Last Name

Spouse's Name

Address

City

State

Zip Code

Date of Birth

Home Phone

Mobile Phone

Email

Add Email Address To Website?

Yes No

Please Note: There are five (5) categories for membership and you must select the one that accurately reflects your status to be accepted into the U.S.S. Little Rock Association. Please check the box for only one category.

All applications are subject to approval from the Board of Directors of the U.S.S. Little Rock Association. Only members of Classes A and B are eligible to serve as Officers or Directors of the Association and to vote at the Association's Annual Meetings. However, all memberships are welcome to attend the annual reunions. All memberships are subject to annual renewal except Class A and B Lifetime Members.

Your membership status will not be disclosed at any time except for official Association business. Membership lists are not provided to any other entity.

NEW MEMBERS PAYING ANNUAL DUES AFTER SEPTEMBER 30TH IN ANY YEAR WILL ALSO BE CREDITED
AS PAID IN FULL FOR THE ENTIRE FOLLOWING YEAR

PLEASE SELECT A CATEGORY TO SEE MEMBERSHIP QUALIFICATIONS AND FEES

Class A: SHIPMATE Class B: VETERAN Class C: ASSOCIATE Class E: WIDOW OR SURVIVING SPOUSE Class F: JUNIOR ASSOCIATE

Class A: SHIPMATE

Any honorable discharged Navy or Marine Corps veteran who served on the U.S.S. Little Rock at any time between 1945 and 1976, or who is serving on or served on U.S.S. little Rock LCS9.

Branch of Service:

U.S. Navy U.S. Marine Corps

From / To - Years On Board:

Division(s):

Rate / Rank:

Plank Owner?:

Yes

What year?:

CL 92 / 1945 CLG 4 / 1960 LCS9 / 2017

Deommissioning Crew?:

Yes

What year?:

CL 92 / 1949 CG 4 / 1976

Type of Membership Desired:

Annual ... $25 Life......... $100 for CL 92 Crew Life ........ $200 for CLG 4, CG 4 or LCS9 Crew

(CHOOSE ONE ONLY)

Class B: VETERAN

Any honorabley discharged Navy, Marine Corps or Coast Guard veteran who did not serve on the U.S.S. Little Rock.

Branch of Service:

U.S. Navy U.S. Marine Corps U.S. Coast Guard

Ship(s) Served On:

Dates of Service:

Highest Rate / Rank Achieved:

Type of Membership Desired:

ANNUAL .. $25 Life ........... $200

(CHOOSE ONE ONLY)

Class C: ASSOCIATE

This class is open to any applicant, civilian or military. ANNUAL MEMBERSHIPS ONLY - $10.00 PER YEAR.

ANNUAL ... $10.00 per year.

Class E: WIDOW OR SURVIVING SPOUSE

This class is open to any applicant whose deceased spouse served on the U.S.S. Little Rock any time and received an Honorable Discharge. ANNUAL MEMBERSHIPS ONLY - $5.PER YEAR.

ANNUAL ... $5.00 per year.

Class F: JUNIOR ASSOCIATE

This class is open to any applicant between the ages of 10 and 21. ANNUAL MEMBERSHIP ONLY - $10.00 PER YEAR.

ANNUAL ... $10.00 per year.

Comments

Based on the above information I am applying for membership in the U.S.S. Little Rock Association.