Membership Application Surface Navy Association Please fill out the following information for renewal and new memberships. In order for your membership to be complete you must submit payment. If you select an incorrect membership level, we will prorate your membership based on the amount you paid. Application Type New Renew Member Information Select Branch Army Coast Guard Air Force Navy Marine Select Status Active Duty Reservist on Active Duty Retired Civilian *If U.S., please use 2 letter state abbreviation Select Country United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Cote d'Ivoire Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint LUCIA >Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe *Highly recommended to ensure you receive updates Membership Options Please ONLY select ONE membership option below. One Year Membership Active Duty & Reserve on Active Duty O-7 & Senior $30 O-6 $25 O-5 $20 O-4 $20 O-3 $15 O-2 $15 O-1 $15 CWO $15 E7-E9 $15 E1-E6 $10 Non Active Duty Retired (all ranks) $30 Civilian $30 Three Year Membership Active Duty & Reserve on Active Duty O-7 & Senior $70 O-6 $62.50 O-5 $50 O-4 $50 O-3 $20 O-2 $20 O-1 $20 CWO $20 Midshipmen/Cadets $15 E7-E9 $20 E1-E6 $20 Non Active Duty Retired (all ranks) $70 Civilian $70 Life Membership Select One Under 50 $350 51+ $250 Under 40 $450 41-50 $350 51-60 $250 61+ $150 *Contact firstname.lastname@example.org for Payment Plans Confirmation Is this a gift membership? Yes No How would you like to receive the SNA Newsletter? USPS Email Opt Out Are you affiliated with the National Cuttermen or the Coast Guard? Yes No Regional Chapter Affiliation Anacostia Douglas Munro Chapter Annapolis Arabian Gulf Bath, Maine Battleship IOWA Interest Group (LA/Orange Counties) Bay Area Charleston Dahlgren Gaeta/Naples Great Lakes Greater New York Greater Washington Chapter Hampton Roads Key West Interest Group Korea Mayport/Jacksonville Miami/Fort Lauderdale Interest Group Mid-South (Millington TN) Monterey New London Newport Pearl Harbor Pensacola Puget Sound Rota Interest Group San Diego Sasebo Tampa Bay USS CONSTITUTION Yokosuka Non-Affiliated Would you like to donate the VADM Robert Walters Scholarship Fund? Method of Payment Credit/Debit Card (complete on the next page) Check No Charge All checks should be made payable to Surface Navy Association & mailed to Surface Navy Association Attn: Membership 6551 Loisdale Court, Suite 222 Springfield, VA 22150 ThankYou!!!ThankYou!!!ThankYou!!!