5th Armored Division Association, Inc.
2216 Longview Drive
Greensburg, PA.
15601
Phone: (412) 585-5556
Email: p.demico@comcast.net
 
Application for Membership Or Dues Report
 
[_____] NEW [_____] Renew 2010 [_____] Reinstate
 
I wish to join the 5th Armored Division Association, Inc.
I understand the dues are $20.00 per year  [Overseas Associate Dues $50]
and as along as I am A Member in good standing, I will receive the
quarterly issues of "The Victory Division News"
published in March, June, September and December.

NAME:_______________________________________________________________
 
ADDRESS:____________________________________________________________

_____________________________________________________________
 
CITY:_________________________________________________________________
 
STATE:___________________ ZIP:__________________
 
PHONE:_________/_____________/_______________

E-MAIL _______________________________________________
 
Company___________________ Battalion________________________
 
Birthdate;   Day:______________/Month:_________________/ Year:___________

ARMY, Buddies, etc.:__________________________________________________
 
_______________________________________________________________________
 
FAMILY, Wife, Hobby, etc.:_____________________________________________

_______________________________________________________________________
 
_______________________________________________________________________
 
Make $20.00 DUES checks payable to:  [Overseas Associate Dues $50]
5th Armored Division Association, Inc.
 
Send to: Patrick DeMico - President
2216 Longview Drive
Greensburg, PA 15601