Please print the following application from a word processor.

Port Lyautey Alumni Association

Membership Application

An invitation for membership is extended to all former military & civilian personnel who served at NAS Port Lyautey, NCS Bouknadel or NCS Sidi Yahia

One Year Membership Fee, $20.00

Please make checks payable to the Port Lyautey Alumni Assoc.

Members will receive periodic newsletters, via e-mail, regarding news of members and upcoming events.

 

NAME: ________________________________________________________________________________

RANK IN P/L*: _____________________________FINAL RANK__________________________________

ADDRESS:______________________________________________________________________________

CITY: ___________________________________STATE: _______________ZIP: _____________________

TEL: ______________________________E-MAIL: ____________________________________________

YEARS SERVED IN PORT LYAUTEY*: FROM: _____________________TO: ________________________

UNIT/SQUADRON/CAPACITY: _____________________________________________________________

______________________________________________________________________________________

DATE OF BIRTH: ________________________NAME OF SPOUSE: ________________________________

WEDDING ANNIV: _______________________________________________________________________

* This includes Bouknadel and/or Sidi Yahia

Checks should be out to the Port Lyautey Alumni Association

Please mail to:

Port Lyautey Alumni Assoc.

322 N "M" Street

Newkirk, OK 74647