Norfolk
Surface Officer Spouses
Membership Form

Dues:  $20.00 (for 2010-2011 season and Directory)

Name: __________________________________________________________
                         Last                                          First                                         MI

Spouse:  ________________________________________________________
                         Last                                          First                                       Rank

 Command:  ______________________________________________

 Circle if applicable: CO / XO

 Address:_________________________________________________________

 City: ___________________ State: _______  Zipcode:_____________

 Telephone Number:______________ Email:___________________________

Birthday:___________________________ (month and day only)

 Talents you would like to share:

_______________________________________________________________

 ________________________________________________________________

__ I give my permission for this information to be printed in “The Anchor” newsletter and in the 2009-2010 SOS Membership Directory.

__ I give my permission to publish photos on the SOS website.




___________________________________
  Signature

Please print, complete, and mail this form.

Check payable to SOS:

Surface Officers’ Spouses

ATTN: Membership Committee

Post Office Box 9902

Norfolk, VA 23505-9902

Norfolk
Surface Officer Spouses
Membership Form

Dues:  $20.00 (for 2010-2011 season and Directory)

Name: __________________________________________________________
                         Last                                          First                                         MI

Spouse:  ________________________________________________________
                         Last                                          First                                       Rank

 Command:  ______________________________________________

 Circle if applicable: CO / XO

 Address:_________________________________________________________

 City: ___________________ State: _______  Zipcode:_____________

 Telephone Number:______________ Email:___________________________

Birthday:___________________________ (month and day only)

 Talents you would like to share:

_______________________________________________________________

 ________________________________________________________________

__ I give my permission for this information to be printed in “The Anchor” newsletter and in the 2009-2010 SOS Membership Directory.

__ I give my permission to publish photos on the SOS website.




___________________________________
  Signature

Please print, complete, and mail this form.

Check payable to SOS:

Surface Officers’ Spouses

ATTN: Membership Committee

Post Office Box 9902

Norfolk, VA 23505-9902