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USS Charles P. Cecil DD/DDR-835

  APPLICATION FOR MEMBERSHIP:                         Annual Dues:  $15.00

	_____________________________/_____________________/______________
        Last Name 		      First Name	    Middle Initial

        Years Aboard Ship:	19_____   to   19______
	
        Rank or Rate:		_________________

	Address:		_______________________________________________________________
				 Street Number of P O Box                             

				__________________________________/_________________/____________
				City                               State             ZIP
	
	Telephone Number with Area Code:  ____________/__________/____________________________
	
        E-Mail :  ____________________________________________________________________________

        Include your personal check made out to the "USS C. P. Cecil Assoc., Inc."
        for $15.00 and:

	Mail to:  USS C. P. Cecil Assoc., Inc.
                  c/o Richard H. Sayers, 
                  429 N Turkey Pine Loop, 
                  Lecanto, FL 34461-8434