APPLICATION FOR MEMBERSHIP
 Society of the 3rd Infantry Division, U.S. Army
Print and mail this application for membership along with a check or money order payable to: 
Society of the Third Infantry Division
 1515 Ramblewood Drive.
Hanover Park, IL 60133-2230

Date_______________________ 

Name______________________________________________________________________
                   Last                                                                       First                                                        MI

Current/Former Occupation_____________________________Birthday__________________


Spouses Name______________________________________________________________
                                     Last                                                          First                                                        MI

HOME ADDRESS
                                  Street _______________________________________________________________

                                  City __________________________________ (ST) _____ (ZIP) ________________

Home Telephone (______)__________________Other Telephone (______)_______________________

E-MAIL Address_______________________________________________________              

                 3ID Units served with ___________________________________________________________

                 Served From __________________To________________Rank_________________________              

DUES INFORMATION
         ANNUAL  MEMBERSHIP              LIFETIME  MEMBERSHIP    
            ANNUAL DUES- USA- $10.00     Up to age 40....          $340.00   
             OVERSEAS- $20.00       Age 41-49...                $300.00   
                            Age 50-59...               $225.00    
                            MEMBERSHIP CLASS         Age 60-69 ...              $150.00    
             REGULAR            ASSOCIATE     Age 70-79 ...              $100.00      
             ACTIVE DUTY  
            TWO YEARS   $10.00      		Age 80 and over         $75.00   

Honorary Membership granted by Executive Committee

For Society Use Only: CHECK NUMBER________________OUTPOST ________SOCIETY ID _____________

Referred or recommended by [RH]___________________________________________________________________