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2nd Missile Battalion, 71st Artillery (Taiwan) Association

MEMBERSHIP APPLICATION

 

Mail To:
2nd Missile Battalion, 71st Artillery (Taiwan) Association
271 Shady Oak Drive
New Market, AL 35761

Enclosed is my check or money order for membership in the Association in the amount of:

    $15 for 1 year        (1 Nov 2003 - 31 Oct 2004) _________
    $30 for 2 years      (1 Nov 2003 - 31 Oct 2005) _________

    Other                                                                   _________

Name: __________________________________________________
Unit(s) Served In: _________________________________________
Address: ________________________________________________
City/State/Zip: ____________________________________________
Telephone: _______________
E-mail Address: ___________________________________________