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