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1st Recon |
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| Membership Application (print this form, complete and mail) |
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| Name (Last, First, MI) _______________________________________________________ | ||
| Address (street) ____________________________________________________________ | ||
| (city, state, zip) _____________________________________________________________ | ||
| Email _______________________________________________ | ||
| Phone (home) _______________________________________________ | ||
| Phone (work) _______________________________________________ | ||
| Date of Birth (MMM DD YYYY) ____________________________ | ||
| Dates of Service with 1st Recon (MMM YY) | ||
| From:_____________________________ | To: _____________________________ | |
| Letter Company or other unit as attached ______________________________________ | ||
| I understand that this makes me a lifetime member of the 1st Recon Association. I also give my permission for my name, address and phone number to be published as part of the 1st Recon Association address listing. | ||
Signature ___________________________________________________ |
Date __/__/__ |
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| Return
application and any donations for administration and mailing costs you
may wish to make (not required!) to: |
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| Bob
Morris, (Membership Coordinator) 7570 46th Ave. N. #144 St. Petersburg, Fl. 33709 |
PLEASE NOTE - How completely this form is filled out determines how well we can connect you with others who wish to contact you. |
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