USSVI Application
APPLICATION  FOR
MEMBERSHIP
NATIONAL DUES
ANNUAL:
$20 - 1 YEAR
$55 - 3 YEARS
$90 - 5 YEARS

LIFE:
AGE 76 AND OVER:                $100
AGE 66-75:                                $200
AGE 56-65:                                $300
AGE 46-55:                                $400
AGE 45 AND UNDER:             $500
PLUS $10 ANNUAL BASE DUES
CHOOSE:   REGULAR
 LIFE
 ASSOCIATE
OUR CREED: “To perpetuate the memory of our shipmates
who gave their lives in the pursuit of their duties while serving
their country.  That their dedication, deeds and supreme
sacrifice be a constant source of motivation toward greater
accomplishments. Pledge loyalty and patriotism to the United
States Government.”
BIOGRAPHICAL DATA (NEW MEMBERS / UPDATES / CHANGES)
Please provide the information requested below. This information will be retained in the National and
the Base database. Individual Bases may request additional data for their specific use only.
MEMBER NAME:
SPOUSE'S NAME:
ADDRESS:
ZIP CODE:
STATE:
CITY:
TELEPHONE:
 EMAIL:
DATE OF BIRTH (MM/DD/YYYY):
 SPOUSE'S DOB (MM/DD/YYYY):
SPONSOR (ASSOCIATE MEMBERS ONLY):
APPLICANT IS (SELECT ONE):
VETERAN
 SPOUSE OF VETERAN
OTHER (PLEASE SPECIFY):
NAVAL HISTORY
HIGHEST RANK ATTAINED:
 RETIRED (Y/N):
ACTIVE DUTY (Y/N):
TO:
 FROM:
QUAL BOAT:
HULL #:
QUAL RATE/RANK:
QUAL DATE (MM/DD/YY):
OTHER BOATS
BOAT NAME:
 HULL #
 FROM:
 TO:
BOAT NAME:
 HULL #
 FROM:
 TO:
BOAT NAME:
 HULL #
 FROM:
 TO:
BOAT NAME:
 HULL #
 FROM:
 TO:
BOAT NAME:
 HULL #
 FROM
 TO:
HULL #
BOAT NAME:
 FROM
 TO:
NEXT OF KIN OTHER THAN SPOUSE
NAME:
RELATIONSHIP:
ADDRESS:
CITY:
ZIP CODE:
STATE:
I subscribe to the Creed of the United States Submarine Veterans, Inc. and agree to
abide by the Constitution, all Bylaws, Regulations and Procedures governing the U.S.
Submarine Veterans, Inc, so long as they do not conflict with my military or civil
obligations.  I will furnish further proof of my eligibility for Regular or Life membership,
including an Honorable Discharge and U.S. Navy (SS) Designation, if required by
proper authority.
SIGNATURE (FOR ONLINE SUBMISSIONS, MY TYPED FULL NAME CONSTITUTES MY SIGNATURE):