UDT-SEAL Museum Membership Application

(Print, Complete and Mail This Form)

Please begin / renew my membership in the Museum Association

____ I am interested in being a volunteer for the Association.

____ Please begin (renew) my membership in the Association.

____ Annual ($40*) ____ Sponsor ($100*) ____ Lifetime ($750*)

*Annual and Sponsor Membership tax-deductible contributions are for a calender year (Jan - Dec.). New applications recieved after Nov. 1 will be applied to the following year's membership. Life Memberships may be paid in 3 equal payments during a 36 month period. The primary benefit of membership in the UDT-SEAL Museum Association is the satisfaction of preserving the heritage of the Underwater Demolition Teams, SEAL Teams, Naval Combat Demolition Units, and the Scouts and Raiders.

 

____ Patron ($1000**) ____ Benefactor ($5,000**) ____ Founder ($15,000**)

**Automatically includes lifetime membership.

____ I would like to give a gift membership in the Association to the following person:

NAME ____________________________

STREET __________________________ CITY ________________ STATE ___ ZIP_____

NAME _____________________________ SPOUSE'S NAME ______________________

STREET ___________________________ CITY ___________ STATE _____ ZIP _______

HOME PHONE (___)___________ WORK PHONE (___)__________ FAX (___)_________

If applicable: TEAMS __________ YEARS __________

TOTAL CONTRIBUTION $______________

______________________________________________________________________________

Mail this form with your tax deductible contribution to:

UDT-SEAL Museum Association, Inc.
3300 North A1A
Fort Pierce, FL 34949-8520
Phone: (561) 595-5845
FAX: (561) 595-5847