Update Crew Members

This form is for Current ASTS Maritime Members only.

*Company Name:
*Individual Completing This Form:
*Phone:
*Fax:
*Email:
   
List of New Members

Please fill out the information below and identify each as a Captain, Crewmember, or Deckhand

Employee Name
SS#
Captain
Crewmember
Deckhand
         
List of Members To Be "DELETED"
Employee Name
SS#
Termination Date
     
Please choose whether you would like to send this information directly to ASTS or you would like to print the information and mail it.
Send to ASTS Print for mailing to ASTS
Please note that the Adobe Acrobat Reader is required if you wish to print the form for mailing. It is available for download here. A blank form may also be downloaded here.