USNAAA Puget Sound Chapter
Membership UPDATE, RENEWAL or APPLICATION
It is very important to complete ALLAPPLICABLE sections below. We update and verify the database against this info.
Effective10/1/2015
Last Name / First Name / MI / Today’s DateHome Address: STREET /
CITY
/ STATE / ZIP CODEPrimary Phone Cell Home / Primary Email
Name of Your Employer OR Current Duty Station / Position with Employer OR Current Duty Assignment
Secondary Phone / Secondary Email / USNA Class (Fill in only if you graduated from USNA) (Note: WW2 accelerated classes use Class Year, not graduation year)
Your Nickname / Spouse’s Name / USNA Class with which you were last affiliated (Applies only if you attended USNA, but did not graduate from USNA)
Last or Current Rank / Check here if you are
NEW MEMBER / Check here for Associate Membership (Puget Sound Chapter member who did not attend USNA)
Parent BGO (non-USNA grad) Friend of USNA
Branch of ServiceUSN USMC USA USAF NOAA USCG
Status Reserves Active Military Duty Retired Discharged
Comments or Expectations for Chapter Membership: (Use back if needed.) / Check here if you are NOT getting shipmate.
NOT RECEIVING SHIPMATE
Would you serve as an Officer or Trustee?
YES / Would you volunteer to help with Chapter Activities and Events?
YES / Checkif you are a Blue and Gold Officer (BGO)
YES
Check if you DO NOT want to receive event announcements and general chapter information by email / Check here if you DO NOT want your data in the Directory. / Check here to receive the following by U.S. Mail in lieu of email
Newsletter Directory
How To Determine The Most Current Year For Which Your Dues Are Paid
If you receive a hard copy Newsletter, look at the mailing label of your most recentEdition. The year above your name is the last year for which our records indicate dues as having been paid.
If you receive the Newsletter by Email, you will be advised by separate email of your dues status annually or more often.
I am paying for calendar year(s) 2016 2017 2018 Lifetime
Class Years 1956 & Earlier: FREE Active Duty and ReserveRanks O1-O3: $5
Widows/Widowers of Alumni: FREE All Others: $25
1. Make check payable to USNAAA-PSC
2. Mail your check & form to / USNAAA – PSC
Carol D Hoffman ‘80
13976 Blackberry Lane NE
Poulsbo, WA 98370-7925
For Internal Use Only
DATE RECEIVED / Paid For Year(s) Amount Paid Check # / Gmail Update / In Database / By
USNAAA - PSC
LIFETIME MEMBERSHIP DUES
DUES YEAR 2016
Class / Nominal Lifetime Dues / Discounted Lifetime Dues / Class / Nominal Lifetime Dues / Discounted Lifetime Dues
2015 / $1,275 / $250 / 1985 / $725 / $653
2014 / $1,270 / $250 / 1984 / $700 / $630
2013 / $1,265 / $250 / 1983 / $675 / $608
2012 / $1,260 / $250 / 1982 / $650 / $585
2011 / $1,255 / $250 / 1981 / $625 / $563
2010 / $1,250 / $250 / 1980 / $600 / $540
2009 / $1,245 / $250 / 1979 / $575 / $518
2008 / $1,240 / $250 / 1978 / $550 / $495
2007 / $1,235 / $250 / 1977 / $525 / $473
2006 / $1,230 / $250 / 1976 / $500 / $450
2005 / $1,225 / $900 / 1975 / $475 / $428
2004 / $1,200 / $900 / 1974 / $450 / $405
2003 / $1,175 / $900 / 1973 / $425 / $383
2002 / $1,150 / $900 / 1972 / $400 / $360
2001 / $1,125 / $900 / 1971 / $375 / $338
2000 / $1,100 / $900 / 1970 / $350 / $315
1999 / $1,075 / $900 / 1969 / $325 / $293
1998 / $1,050 / $900 / 1968 / $300 / $270
1997 / $1,025 / $900 / 1967 / $275 / $248
1996 / $1,000 / $900 / 1966 / $250 / $225
1995 / $975 / $878 / 1965 / $225 / $203
1994 / $950 / $855 / 1964 / $200 / $180
1993 / $925 / $833 / 1963 / $175 / $158
1992 / $900 / $810 / 1962 / $150 / $135
1991 / $875 / $788 / 1961 / $125 / $113
1990 / $850 / $765 / 1960 / $100 / $90
1989 / $825 / $743 / 1959 / $75 / $68
1988 / $800 / $720 / 1958 / $50 / $45
1987 / $775 / $698 / 1957 / $25 / $23
1986 / $750 / $675 / 1956 / $0 / $0
Extended payment: You may pay the total amount over a four-month period. Please select your payment plan with your first installment, e.g. pay plan total or 25% monthly.
Contact Carol Hoffman '80 with questions at or call her at
360-930-2844.