Please print out, fill in, and mail with your check to:

Sea Service Leadership Association

Attn: WSC Associates, LLP

Post Office Box 471212

Forestville, MD 20753

Membership Application Form

Renewal New Member

Date: ___________ Rank: ___________ Name: __________________________

Service: USA USN USMC USAF USCG Other

Status: Active Duty Reserve Retired Civilian Student

Source of Commission: Service Academy ROTC OCS/AOCA OIS Other

Mailing Address: __________________________________ Home Phone: ________________

__________________________________ Email: ______________________

City: _________________ State: ___________ Zip Code: ___________________

Current Job Title: ________________________________ Work Phone: ________________

Work Address: ________________________________ Fax: ____________

________________________________ Email: ______________________

City: _________________ State: __________ Zip Code: ___________________

Interested in running for an Office/Position? Yes No

Could you volunteer for one of these committees?

By-laws Budget Command Point of Contact

Elections Historian Membership

Newsletter Midshipman Liaison Awards

Programs Publicity Symposium

Permission to include your name and address in WOPA Membership Directory? Yes No

Yearly Dues Schedule

Membership Category (Please check one)

Regular (Voting) Member: (Active, Reserve or Retired) Navy, Marine Corps, Coast Guard, NOAA Officers

0-6 and above $40

0-5 and 0-4 $35

0-3, 0-2, 0-1, Warrant Officers and E-6 – E-9 $20

Affiliate (Non-Voting) Member: (Active, Reserve or Retired Officers of other services and Civilians

(both GS and Regular):

0-6 and above / GS 15 and above / Other Civilians $30

0-5 and 0-4 / GS 12 - 14 $25

0-3, 0-2, 0-1, Warrant Officers / GS 11 and below $15

Midshipmen / All ranks living outside Washington DC Area

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