MEMBERSHIP INFORMATION AND ENROLLMENT FORM
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(Print out and mail in - don't forget to include your membership dues check)
Date: ______________________
Name: ____________________________________________Spouse: ______________________
Address: _______________________________________________________________________
_______________________________________________________________________
Phone (Home): ____________________________ (Bus): ____________________________
Dates with Squadron: _____________________ Position: __________________________
Crew: _____________________ Highest Rank/Rate with Squadron: __________________
Email: _________________________________________________________________________
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| Mail to: |
Robert Foss 3213 Saundra Circle West Des Moines, IA 50266-2020 |
| Email: | robfoss@aol.com |