USS TOLEDO (CA-133) ASSOCIATION

1250 PINON OAK DRIVE

PRESCOTT AZ       86305-3752

E-MAIL: Robysan@aol.com

 

 

NAME: __________________________________________________________

LastFirst Initial Nickname

 

ADDRESS:_______________________________________________________

 

________________________________________________________________

City/Town                                  State                                                    ZIP Code

 

TELEPHONE NO: (          )______________  E-MAIL: ____________________

 

DATES SERVED ABOARD:                        Mo/Yr ___/___  through Mo/Yr ____/____

 

RANK/RATE: _________________ DEPT/DIV/TITLE: ____________________

 

PLANKOWNER: YES ___ NO ____  SPOUSE’S NAME: __________________

Note:  Members who are renewing need only to fill in your name and any other information that has changed.

Dues are $10.00 per year. Life time dues are $100.00. You may renew for multiple years at $10.00 per year.