H.M.S. Euryalus Association

APPLICATION FOR MEMBERSHIP

Surname  Christian names 
Address 
             
             
             
Post Code  Telephone no. 
Wife/Partner's name (if appropriate) 
Service no.  Branch 
Rank on Discharge(or current rank if still serving) 

SERVICE ABOARD EURYALUS

From  To  Branch  Rank 

We occasionally receive requests from other Ship's Associations searching for shipmates, and if you wish to record your service aboard other ships we will be pleased to do so. However, this information is not obligitory.

Name of ship Served from to Comments

Please tick, as appropriate

Associate membership of Wife/Partner     Tie     Lapel Badge    Blazer Badge 

For Office use

Membership no.................. Associate membership no................ Cheque amount......................