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Membership Application
Please print or type and provide all information requested
Application date_________
Name ______________________________
Active Duty__ ..........Retired__ ............ Reserve__ ...........Former__ ......
Mailing Address _____________________________________________________
City and State _________________________________ Nine-digit Zip Code _____________
Home Telephone (_____)________________ . Spouse's Name ________________________
I Served in:______________ Battery ...__________Battalion ....
From______ to_______
How did you hear about the Association/Sponsor __Website__________________________
Signature ___________________________
My check for $__________ is enclosed for:
Annual Regular Dues ($10.00) ___ ............... Paid in Full Life Member Dues ($25.00) ___
Mail with payment to:
Richard Rodriguez, 1507 Fulton Road, San Marcos, CA. 92069
Please allow 3-5 weeks for processing and receipt of new membership materials.
___________________________________________________________________________
UPDATED 11/10/2009
Thank You and Semper Fidelis!
Alex Jablonowski - Web Master