Registration

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Some information is required to join the USS Sumter Prior Crew Member Organization.
Any fields marked as (optional) are just that. Relatives and Family Members are cordially invited to join as well!

Information provided here, will not used by this site for any marketing purposes, sold in a list, or used anywhere else beside this website. Be aware this is NOT a secure site and therefore any information displayed on this site can also be harvested by outside entities, not affiliated with our host (Coastside Services) and used to contact you. As much as we do not condone this activity, It is nearly impossible to prevent misuse of the information by those entities who practice harvesting for marketing purposes, without making the site inaccessible to the public.

First Name
Last Name
Middle Initial (optional)
 Rate & Rank onboard & highest rank in service ET1(SW)/ETC
Current Postal Mailing Address
Current Postal Mailing Address (cont.) (optional)
City
State  2 Letter Abbreviation
Zip/Postal Code
Country  
(Example 5051234567) Work Phone (optional) no spaces, dashes or brackets
Home Phone (optional) no spaces, dashes or brackets
FAX (optional) no spaces, dashes or brackets
Current Occupation (optional)
Personal or Business Website (optional)
AOL Instant Messaging ID (optional)
ICQ Instant Messaging ID (optional)
Yahoo Instant Messaging ID (optional)
MSN Instant Messaging ID (optional)
Text/SMS Messaging (mobile) ID (optional)
Enter the first date you checked onboard: -- mm/dd/yy
Enter the first date you checked off: -- mm/dd/yy
Enter the 2nd tour you checked aboard (lucky you!):(optional) -- mm/dd/yy
Enter the 2nd date you checked off: (optional) -- mm/dd/yy
Enter the 3rd tour you checked aboard (Liked it that much?):(optional) -- mm/dd/yy
Enter the 3rd date you checked off: (optional) -- mm/dd/yy
Were you a plank owner?

If you actually toured beyond three, then you'll have to tell us all about it below.

Experiences, Scuttlebutt, Sea Stories, you name it!.... We want to read it!

Use this area to provide memories of your tour(s) onboard... (optional)
If you are registering for a deceased crewmember please provide your own name and relationship as well as any additional information you wish to share.

READ THIS BEFORE Clicking the "Submit Form" button below...

Upon submitting the information I have provided above, I affirm that the information is true and accurate to the best of my knowledge and hereby authorize the publishing of the information I have provided, to the website and release the website/domain owner and any associated parties from any responsibility for subsequent damages caused by the publication of the information I have freely provided. I understand that the information I have provided on this form is NOT secure and can be be harvested from the website by entities outside of the website's control.

The email address you register with, will be used to contact you. It must be correct in order for us to respond. This helps us to at least be able to verify the source and have a means to communicate any questions or concerns regarding your registration.

Enter a VALID email address
Enter the email address again

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Last modified 06/03/2008, All rights reserved, Copyright 2007