| National
Mariners Association Membership Application I would like to join the National Mariners Association. I understand that membership costs $36.00 a year. I am joining as a member and enclose $________ (cash) (check) (money order) Date:_____________ Name:____________________________________________________________________________________________ Family Members:__________________________________________________________________________________ Home Address:____________________________________________________________________________________ Mailing Address:___________________________________________________________________________________ Telephone # (residence):__________________________ (Cell):__________________________ (Fax):_____________ Employer:________________________________________________________________________________________ Email Address:____________________________________________________________________________________ Job Title or Position:_______________________________________________________________________________ USCG License or MMD: (Title):_______________________________________________________________________ |
Please Print and Mail to: NMA, 124 North Van Avenue, Houma, LA. 70363-5895 |
Questions? Comments? (1.985.851.2134) (1.563.508.7735)