Date: Name: Home Address: City: State: Zip: Phone: Duty Station or Employer: PRD: Business Address: City: State: Zip: Phone: Position/Billet: Status: Active Duty Naval Reserve Retired Civilian Rank/Rate: Desig.: Email Address: Please use my: Home Address Business Address Sponsor if Applicable: Membership Fees are currently: 1 $25.00 per year. Life Membership Payment plans are available.