USS Laffey Association Membership Application

Annual members (renews every January 1st regardless of when you join):  $25/year.   Life membership (one-time payment):  55 years old and younger $375; 56 to 60 $250; 61 to 64 $225; 65 and older $125

Make check or money order payable to the USS Laffey Association Mail to:  Kathy Pereira, Membership Chairman, 92 Elmdale Avenue, Warwick, Rhode Island 02889.  For info call (401) 787-3014 or email membership@laffey.org.

Name: 

Spouse: 

Address: 

City:                                        State:                                  Zip:

Phone:  Landline:                     Mobile:                     Email:

Navy Ship/Military Unit:                            From:                 To:

Rank/Rating:

Ship's Commanding Officer:    

New Member ___    Renewal ___   Lifetime _____Birth date: 

Other pertinent information like vocational expertise:

Print and fill out the application form and send form and dues check to Kathy Pereira 92 Elmdale Avenue, Warwick, Rhode Island 02889