First Name:   Last Name:
Nickname (if any):
Rate/Rank while on-board Drum (i.e. MM2/SS, Ltjg, etc):
Years served on USS Drum (i.e. 1980-1983):
Check the following that apply:  Plankowner (1970-72):        De-actvation Crew (1995):       De-commissioning Crew (1995):
Current Email Address:

Current Mailing Address (not required, will only be used for reunion mailings)

Street or PO Box: 
      Apt: 
City: 
    
State (or if outside US, yr Country):  
    ZIP: