USS Hugh Purvis - DD709 Send-Mail Form. Use this form for "Providing" or "Updating" your
membership and personal information. Fill in as needed - Always include your "Full Name"

* Fill in Name, Subject and Email Address (Mandatory)

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* Name:

* Subject:

* Email:

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Enter your personal information as needed...
If you only have a cell phone (no land-line), enter it as your Home Phone.
If you want your phone to be unlisted, put "Unlisted" in the Home Phone box then place
your phone number in the "Other Information and Comments" field.
Use the "Other..." box for any other information and comments.
(Use "Tab" key to move between fields)

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Last Name:

First Name:

NickName:

Spouse / Other:

Address / Address2:

 

City / State / Zip:

Home / Cell Phone:

 

Email Address:

Years On Board:

Rate / Rank:

Newsletter via Email:

 (Yes/No)

In Directory ?? :

 (Yes/No)

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Other Information and Comments...

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         <<<  Type the above code here, and cllick "Send".

     

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