NEW OR CHANGE FORM PLEASE COPY AND PAST THE FOLLOWING TO A BLANK EMAIL PAGE EMAIL OR OTHER INFORMATION CHANGE Reason: New : Or change existing information : |
Name : |
Email Address : |
Division : Rate/Rank while aboard : |
Aboard from Year : To Year : |
Plank Owner: Yes : No : |
Are you a paid up member of the USS Wisconsin Association? Yes : No : |
Are you currently on active duty? Yes : No : |
Please send this information to Paul Zentmyer |