AE/AOE MEMBERSHIP DONATION $15.00
please PRINT all information on the form
DATE: __________________

PRINT NAME:  ___________________________________________

ADDRESS:       ___________________________________________

CITY: _____________________ ST. ___________ ZIP:  __________

PHONE: HOME ___________________ CELL __________________

Email:  _________________________________

SPOUSE FIRST NAME:  _____________________________________

AO/AOE SHIP: USS_____________________________ SHIP # ______

YEARS SERVED ABOARD: 19____ TO 19____
MAIL TO MICHAEL SPONHEIMER, TREASURER phone 410-760-0358
AE/AOE SAILORS ASSOCIATION
109 NORTHDALE ROAD
GLEN BURNIE, MD  21060
MAKE CHECKS PAYABLE TO:
"AE/AOE SAILORS ASSOCIATION" OR "AESA"
DONATIONS ARE TAX DEDUCTIBLE
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