USS Semmes DDG-18 Association
Association Registration Form

Print & mail this form along with payment to:
Charles L. Layus
442 Wilaway Rd.
Maryville, TN 37801

Make check out to:
USS SEMMES DDG 18 ASSOCIATION ACCOUNT

Name: __________________________________
Address: ________________________________
_______________________________________
City:________________________, State:_______
ZIP:____________
Spouse:_________________________________
Phone:(_____)-_____-________ ext:________
Years on Semmes:19____ To: 19____
Rank:___________________________________
email:___________________________________

ASSOCIATION DUES::
______$10/YEAR
______$100/LIFETIME

Plank owner
______Yes

Any questions e-mail Chuck at: cllrn3@comcast.net
Or call at:  1-865-856-0001