Please Print

Name: (Last First) _________________________________________________________________

Name of spouse: ___________________________________________________________________

Mailing Address: __________________________________________________________________

City: ____________________________________ State: ___________ Zip: ___________________

Place of Employment: _________________________ Job Title/Position: ____________________

Home Phone: ________________________ Office Phone: _________________________________

FAX: ________________________________ E-Mail: _____________________________________

U. S. Citizen (Y/N) ____ Veteran: (Y/N) ____ Sponsor's Name: ____________________________

I authorize the amount of __________________ to be charged to my credit card:

Card # _______________________________ Exp Date: _____/_____

Signature: _________________________________________________________________

The Philadelphia Council of the Navy League  is a 501(c)(3) tax exempt organization.
Contributions are tax-deductible in accordance with federal law.

If paying by check make payable to: Navy League of the U. S.

Mail to:    USNL Membership

                   C/o  5344 Walden Way

                   Doylestown, PA 18902

Philadelphia Council

Membership Type/Dues:

Individual . . . . . . . . . . . $40

Husband/Wife . . . . . . . .$70

My reason(s) for joining:

Support of Navy League's Statement of policy

Navy League Privileges

Other___________________________

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