Please fill out the following form in order to get your e-mail address placed on the "Brewton Shipmates Online" listing. Please DO NOT fill out this form unless you were stationed onboard the USS Brewton FF-1086!

Name              :  
E-mail Address    :    (Check spelling!)
Years on Brewton  :    (Example: 1991-1992)
Rate/Rank         :    (Example: STG2)
Phone Number      :    (Include area code)

Other Comments    :  

I will contact you to confirm your entry on the Brewton Shipmates Online Page. If you do not get e-mail from me within several days of filling out this form, then you have entered your e-mail address incorrectly in the space above, and I was unable to contact you. If this happens, please E-mail me again, and I will correct it.