USS Donner Memorial Association
Membership Form
First Name
Last Name
M.  I.
Street Address
Zip
City
St. 
E-Mail
Phone
Area Code:
Number:
Served aboard the USS Donner LSD 20  
Comments, Events, Special Memories ..... 
Rate & Rank
To:
USS Donner Memorial Association Dues Payment

You can pay your dues by making your $15 check payable to:  USS Donner Memorial Association, Inc.  and mailing your check to the Association Treasurer : 
Mike Juliano
67 Dorchester Rd
Lake Ronkonkoma, NY 11779
Select 1st year
Select Last year
From:
Web site designed & hosted by USS Donner Memorial Assn. © 2007 at Homestead™
Select one 
Birthdate (Month/Day)
Spouse's Name
Spouse's Birthdate (Month/Day)
Wedding Anniversary (Month/Day/Year)