Patron SIX Blue Sharks Association

Membership Application Form

(This information will only be shared with VP-6 Association Members and will not be released

to outside parties without your permission)

Name:___________________________________________________________

Last First Middle

Spouse: _________________________________________________________

Address:

Street:___________________________________________________________

City: ____________________________________________________________

State:__________________________ ZIP Code:_________________________

Home Telephone:__________________________________________________

Rate/Rank:_______________________________________________________

Dates in VP-6 (when attached)________________________________________

e-mail address: ___________________________________________________

Career information (or anything else you feel is noteworthy about you that has occurred

since your time at VP-6):

Please mail this application and a check for $25 (for initial Membership) made out

to "Patron SIX Blue Sharks Association". Dues for each following year are $10.

Mail to:

Vodean Miller

Attn: Patron SIX Association Treasurer

P. O. Box 174

Coupeville, WA 98239