Name:
______________________________________________________________________________________
Last
First
MI
Spouses Name:
_______________________________________________________________________________
Last
First MI
Permanent Mailing Address:
Street:____________________________City:______________________State_____ZipCode:_______________
Home Telephone:
____)_________________Other Telephone: (____)___________
E-Mail Address (s):__________________________________
10th FA Service
From:____________To:__________Rank____________Post/Era:______________:
WWII [ ] Korea [ ] Cold war [ ] Gulf [ ]
OIF [ ] Other:_____________________________________
MOS: 13B-Gunner [ ] 13E- FDC [ ]
13F- FO [ ] Survey [ ]
Other:_________________________________
Are you a member of the following
Veterans Organizations? X those applicable.
**
Society of the 3rd Infantry Division (3ID) [ ]
Outpost#____, American Legion [ ] VFW [ ]
AMVETS [ ] DAV [ ] Field Artillery Assn. [ ]
.Other_______________________________________________________________________________
**
Membership in the Society of the 3ID is highly encouraged,
but NOT REQUIRED for membership in the 10FA Association.
Eligibility:
·
Regular
Membership is limited
to any active duty soldier or veteran who has served
honorably in the 10th Field Artillery
Battalion/Regiment since its original inception into the
Regular Army on 1 July. 1916.
·
Associate
Membership is open to
other armed forces veterans, spouses, parents, children or
siblings of any person eligible for regular membership and
others with a personal interest in, or affinity for, the
10FA and the Society of the 3ID.
Annual
Dues:
� Regular and
Associate Membership: $12.00 per year
payable on or before 1 July of
each year.
� Premier Membership:
$27.00 for those
applicants who are NOT 3ID Society members but wish to join
both organizations: The $15.00 portion of that amount
will be forwarded for your membership in the Society of the
3ID. Please
indicate your membership preference by placing an “X” in the
appropriate box. Please see the reverse side for check and
mailing instructions.
Privacy
Policy: The Society of
the 3ID and the 10FA Association each maintain membership
databases. Information in these databases is strictly for
internal use only. We collect only general contact
information and date of birth (for voting eligibility
purposes). We do not release this information to any
third parties without the express permission of the member.
We do not require, nor do we seek highly personal
information such as social security or credit card numbers.
Annual
Dues Renewal Date is 1 July of Every Year. Mail this
application for membership along with a check payable to:
10th
Field Artillery Regiment Association
c/o Christopher Vegas
1111 Abe Lincoln Way
Jefferson, GA 30549
Membership
referred or recommended by:
_____________________________________________________________________________________________
Rock Support
and Rock of the Marne!
FOR OFFICE USE ONLY
Regular
[ ] Associate [ ] Society Member [ ] Amount
Received _____Check #___________
Society
Dues Paid [ ] Amount $___________10th FA Check
#___________
Date
Mailed to Society____________ (If Required)
Welcome
packet sent_________________
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Form