5th Armored Division Incorporated

Application for Membership, 2012

 

††††††††††† New Membership††††††††††††††††††††††††††††† ††††††††††† Regular Member (Veteran)

††††††††††† Membership Renewal†††††††††††††††††††††† ††††††††††† Widow (Widow of Veteran)

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ††††††††††† Associate Member

If paying for a year (or years) other than 2012, please indicate which year(s)†††††††††††††††††††††† †††††††††††††††††††††††

 

Please fill in all information, regardless of type of membership.If you are a relative of a veteran, please indicate that veteranís unit of assignment.

 

Dues are $20.00 per year for U.S. and international members.Please make checks payable to 5th Armored Division Association, Inc.

 

Mail check along with membership form to:

5th Armored Division Association, Inc.

Bob Smithers, Treasurer

2843 SW 92nd Terr.

Gainesville, FL32608

NAME††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††

ADDRESS†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††

CITY†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ††††††††††† STATE††††††††††† ††††††††††† ZIP††††† †††††††††††††††††††††††††††††††††††

COUNTRY AND POSTAL CODE (If other than USA)†††††††††††††††††††††††††††††††††††††††††††††††††††††††††

HOME PHONE†††† (††††††††† )††††††††††-††††††††††††††††††† .

DATE OF BIRTH†††††† ††††††††††† /†††††††††† /††††††††††††††††††††††

EMAIL ADDRESS††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††

UNIT (BATTALION/REGIMENT)††††††††††††††††††††††††††††††††††††††† CO/BTRY/TRP††††††††††††††††††††

RELATION TO VETERAN (If applicable)†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††

NOTES OR COMMENTS:

 

 

 

 

Purpose of the Association:

To preserve and strengthen comradeship among the one-time members of the 5th Armored Division and to do all things necessary to accomplish this end.