USCGC Half Moon's Crew Registration

Crew Member Information

Name........:

Addr1.......:

Addr2.......:

City/State..:

Zip............:

Country.....:

Email addr.:

Phone #....:

What year did you report aboard Half Moon?
Please Choose One before 1960 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969

What year did you leave Half Moon?
Please Choose One before 1960 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969

Your Current Marital status?
Please Choose One Single Married Divorced Widower

Your Spouses's Name:

Number of children?
Please Choose One None One Two Three Four Five Six Seven More than 7

Your Current Occupation:

Please let us know if you know where other former Half Moon crew are

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