SAM RAYBURN ASSOCIATION (SRA) CREW MEMBER DATA SHEET
Shipmates will be considered members of the SRA upon receipt of their annual dues. The SRA bylaws state that "Dues shall cover the period from 1 January to 31 December each year, and will be paid in two (2) year increments to coincide with the reunion schedule."
To join the SRA, send a check for $30.00 payable to the "Sam Rayburn Association", along with a filled in Crew Member Data Sheet, to the SRA Treasurer. Mail the check and data sheet to the below address. The Treasurer will forward your Crew Member Data Sheet to the SRA Database Manager for you to be entered in the database.
Dalton Duncan
1090 Inverness Avenue
Melbourne, FL 32940-1913.
Please provide as much information as possible.
Full Name (Last, First & Middle initial):
Spouse’s Name (as applicable):
Mailing Address:
City, State & ZIP Code:
Phone Number (please do not use work phone number):
Primary E-Mail Address (please do not use work email address):
Arrived Onboard (i.e. January 1964):
Detached (i.e. January 1965):
Crew (Blue, Gold, Overhaul, Commissioning, Decommissioning, MTS Conversion):
Plankowner (Yes/No):
Rank/Rate when detached [i.e. ETCM, LT, etc.;
(SS) if qualified]:Division/ Position on Board (i.e. Machinery, Auxiliary, Radio, COB, WEPS, XO, Nav Center Supervisor, etc.):
If Retired Military; Rank/Rate, and Branch:
REMARKS (Additional tours aboard, or Special Recognition received):
NOTE:
The information in the SRA Database is subject to the privacy act of 1974 and copies of the crew members directory will not be shared with Sam Rayburn shipmates. To contact a shipmate, send an email to the Database Manager, ssbn635aganger@gmail.com, identifying the person you wish to contact. The Database Manager will contact that individual and ask them to contact you.If you know of any Rayburn shipmates that are not members of the SRA, please give them a blank copy of this worksheet to submit.
Rev 22 November 2016
Larry Oiler