The information that you provide below is going to go into a database. This database will be posted on our web
site,which means it will be available to anyone that visits our site. IF YOU JUST WANT THE CLUB TO HAVE
THIS INFORMATION PLEASE STATE YOUR WISHES IN THE COMMENT SECTION. In doing so your
information will remain private available only to the officers of the club. If you prefer not to fill out this form on the
Internet please print it out and mail to: Pete Grare, 107 Felicity Lane, New Bern, N.C.28562  
Please Note: Only paid members of the club will be entered on the site. All information you enter will be saved for the web
site should you decide to join our fine club. Dues are $15.00 per year. Please consider joining. It's a great way to rekindle
friendships with old (yes we're old now) shipmates. Thank you, Charlie
LAST NAME:
FIRST NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
Your email address:
Your phone number:
THE YEAR YOU REPORTED
ABOARD THE STRIBLING:
THE YEAR YOU DEPARTED:
IF YOU ARE RETIRED FROM THE SERVICE, YOUR RANK/RATE AT RETIREMENT:
YOUR RANK(S)/RATES WHILE
ABOARD THE STRIBLING:
THE FIRST NAME OF YOUR SPOUSE
or SIGNIFICANT OTHER:
Comments: