Georgia Chapter
Destroyer Escort Sailors Association
Membership Application


Name:__________________________________________________

Rate/Rank: _______________________________________________

Address: ________________________________________________

City: ____________________________________________________

State: ______________________________________Zip: __________

Telephone Number: (______) ________-_________________________

Fax Number: (_______)_________ -____________________________

E-Mail Address: ____________________________________________

Ship Name & Number:________________________________________

Dates in Service:_____________________________________________

Ship Name & Number:________________________________________

Dates in Service:_____________________________________________

Dues are $10.00 per year. ($5.00 when joining from July 1 to October 31). Those joining in November or December pay $10.00 and are paid up through the following year). Please print (right click on your mouse and select print) and complete this form and mail it along with your check (payable to Joseph Eason, DESA).

Mail to:
Joseph Eason
319 Kings Bridge
Atlanta, GA 30329