USS Knox (DE/FF 1052) Reunion Association
Membership Form

Required fields are in RED

 First Name: MI: Last Name:

 Address 1:

 Address 2:

 City:   State:   Zip:

 Home Phone: Business Phone: Cell Phone:

 Email Address: Spouse's Name:

 Dates of Service Aboard Knox (mm/yyyy): to

 Your Rank/Rate Aboard Knox:

 Your Rank/Rate at Time of Discharge/Retirement:

 Does your spouse wish to be a member? Yes No

 How did you find the USS Knox Reunion Association website? Google Yahoo Just Surfed In Link on another website A Friend Told Me Other

 If you chose "Other" above, please describe:

I/We do hereby apply for membership in the USS Knox (DE/FF 1052) Reunion Association, Inc.
(choose one from the drop-down list):

 Membership Type (see below): Member In Good Standing Member At Large Widow Honorary Membership  

For security purposes, enter the code exactly as it appears in the image to the left: Note: failure to enter it properly will erase all data in the form and it will not be submitted!

Your application will be emailed to the USS Knox (DE/FF 1052) Reunion Association Webmaster when you click on the Submit button below. Do not click the button more than once.