Signup Form

Iowa Class Preservation Association

Membership Form

Thank you for joining the Iowa Class Preservation Association (ICPA). With the help of people like you, our goal of establishing an Iowa Class Battleship Museum will be reached. Simply print this page, Please fill out the information below to be included in our growing membership, and send it along to:

The Iowa Class Preservation Association
P.O. Box 3394 La Habra, CA 90632-3394

Please circle your favorite ship’s name below.

USS Iowa
USS New Jersey
USS Missouri
USS Wisconsin

Tell us about yourself:.

Member Name:_____________________________

Referred By:_______________________________

Address:___________________________________

Phone Number:_____________________________

(Please Print Clearly!)

Donation Enclosed:
$25.00 $50.00 $75.00 $100.00 $200.00 $500.00 Other
(Circle One)

Please make contribution payable to ICPA and mail to P.O. Box 3394, La Habra, CA 90632-3394. Upon receipt of this form, ICPA will send you your membership package which will include your benefits / premiums. You will also receive future issues of ICPA’s quarterly newsletter (BATTLESHIP NEWS).

Contribution Receipt (Mail the above and keep this part for your records)

Name: ________________________________________
Date: ________________________________________
Amount: $ ___________________
Check No.: __________________

Please Note: To comply with IRS rules only 90% of your contribution is deductible if premiums are not requested to be with held. Otherwise your premiums will be mailed to you automatically. Thank You!