First Name

Last Name

Middle Initial

Street Address

City

State/Province

Zip/Postal Code

Country

Phone

E-mail

What was your rate or rank while on board this ship?          

Which years did you serve on board this ship (arrival and departure dates)?      
19 - 19

Your Spouse's Name:   

What was your hometown (and state) when you entered the military?  

Were you career military?     yes    no

If yes, what was your rank/rate when you retired, and when did you retire?  

 

What was/is your primary civilian occupation?

 

 

What are your special interests and hobbies?  

 

What is your favorite memory from your time on this ship

 

What is your worst memory from your time on this ship?

 

Is there Shipmate(s) you would like to make contact with?"  

 

How many children, grandchildren and great grandchildren do you have? (Feel free to brag here!)  

  

Any special comments you would like to include? 

 

 

Please type Ware in the space to the below. This prevents machine posts.

 

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