USS BENJAMIN FRANKLIN
(SSBN 640)
Association
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As a former submariner who served aboard the nuclear
powered US Navy submarine USS Benjamin Franklin SSBN 640 or a family member
of a former SSBN 640 submariner, the Executive Committee of this Association
hereby extends to you an invitation to apply for membership in the USS
Benjamin Franklin (SSBN640) Association.
The following membership options are available to
you:
·
Regular Member:
_______ $20.00
per year (due annually by January 1st)
·
Lifetime Regular
Member: _______
$150.00
(One-time Membership Fee)
Please make your check payable to:
USS
Benjamin Franklin Association
Mail application with check to: Allen
“Lenny” Exelby, Membership Chairman
110
Meriden Drive
Newark,
DE 19711
Any Questions? Call Len at (856)
816-5672 or
E-mail him at ssbn640blueyeo@aol.com
******************************************************
Full Name:
Highest Rank & Position on the Franklin:
Other family members to
be included in this membership:
Dates served aboard the Franklin:
From: __________ To: __________
Your Date of Birth: _________________
Crew
(check all that apply):
(
) Blue (
) Gold
( ) Commissioning
( )
Inactivation
( )
Conversion/Refit
Note:
If you served on more than one crew during your tenure aboard the
Franklin, please indicate here the years you served on each:
(Blue):
_______________________ (Gold):
________________________ (Other):
_____________________________
Mailing Address:
Phone No:
E-mail address:
Date Submitted:
Membership
Number (to be assigned):
