USS Boston Shipmates, Inc.
Personal Information Form

NOTE: We do NOT share this information with any outside agencies or organizations.

First Name:   Last: 

Street Address:

City: ,    State:    Zip:

Aboard:   19 - 19    Division:      Rate/Rank while aboard:  

Spouse's Name:   

Your Highest Rank/Rate:  

Active Duty?          Over 80?  

Home Phone:      Cell Phone:


Would you like to receive your Newsletters via E-mail?

Is any of the above information restricted, not to be given to other Boston Shipmates?   

How did you learn about USS Boston Shipmates?

ABOUT DUES: Annual membership dues are $10. If we know that you are over 80 years old, you only have to pay dues one time, then we are happy to remit your dues. Life Membership is $110, after which you will never be subject to dues again. The dues year is the calendar year (January 1 to December 31). We do not collect "past dues", so if you haven't paid in a while, you only owe for the current year.

ABOUT NEWSLETTERS:  We send one newsletter, usually in January, to everyone in our mailing list regardless of dues status. If your dues are paid up (Annual or Life) or if you are over 80, and have paid at least one year, you will receive all subsequent newsletters for that calendar year.

Please fill in the form completely, then click the submit button. (Also sends email to the secretary)

You can pay your dues on-line using PayPal, with Zelle®, or by printing the next page and mailing with your check to:

USS Boston Shipmates, Inc.
PO Box 7445
Brockton, MA 02303-7445

Make checks payable to: USS Boston Shipmates, Inc.

For additional information, contact Secretary, Barry Probst