USS HANCOCK ASSOCIATION

                    ONLINE REGISTRATION AND RENEWAL FORM

Name:            Rank/Rate  

Street Address:    Date of Birth:  

City:    State:    Zip Code: 

Phone:    Email Address: 

Division/Squadron:  Years Aboard:     ex. 44-45, 65-68

Wife's Name: 

   

Type of Registration

 

Standard Two-Year Registration/Renewal - $ 20.00 

Life Membership - 55 or younger----$250.00           

Life Membership - 56 to 60 -----------$200.00           

Life Membership - 61 to 65------------$150.00           

Life Membership - 66 to 70------------$125.00           

Life Membership - 71 to 77------------$100.00           

Life Membership - 78 to 84------------$  75.00           

Life Membership - 85 and wiser-------$  50.00          

 

  Type name in picture to right of box.       Case Sensitive 

 

   

 

 

Registration for the USS Hancock Association is a two-part process.  First section is required to supply all the necessary information to the Association Membership Chairman and the Association Treasurer.  Please fill in all the information above and type of Registration.  Submit information by pressing the "REGISTER" button or press the "Cancel" Button to start over.

You will be directed to the Online Registration/Renewal Payment Page where you can use PayPal to make your payment.  You will need to select the correct option when making payment, so please verify your selection before processing the payment.