Special Forces
Association
The Ozarks Chapter 82
C/O Jim Rougeau,
VP/Treasurer
465 River Bluff Rd.
Branson, MO
65616-3630
Application
for Membership Renewal
I,
_____________________________________________________________________
(Print Last Name, First Name,
MI)(Membership Number)
hereby apply for renewal of my
membership in The Ozarks Chapter, Special Forces Association and submit the
following information:
CHECK ONE OF THE FOLLOWING BOXES:
Enclosed is a check or money order
payable to The Ozarks Chapter 82
SFA in the amount of $25.00 for a one year renewal of my membership. Note: Annual renewal is $25.00 if paid before 31 January of each year.
Enclosed is a check or money order
payable to The Ozarks Chapter 82,
SFA in the amount of $30.00 which includes a $5.00 reinstatement fee along
with the $25.00 annual renewal fee.
Note: Annual renewals are $30.00 after
31 January of each year.
Enclosed is a check or money order
payable to The Ozarks Chapter 82,
SFA in the amount of $300.00 for a lifetime membership. The $300.00 fee applies to members in good
standing only. For members not in good
standing, the fee is $330.00 of which $300.00 is the life membership fee,
$25.00 is for annual dues and $5.00 is for reinstatement.
Current mailing address: ________________________________________________________________
(Street number or P.O. Box)
______________________________________________________________________________________
(City & State)
(Zip + 4)
Home phone: (_____)___________________________ Work
phone: (_____) ___________________________
Fax:
____________________________________ E-mail :______________________________________________
Date: __________________
Signature: ____________________________________________________________
FOR
OFFICIAL CHAPTER USE ONLY
Date
Received: ______________________ Date
sent to SFA National: _____________________
Check
nr. _____________ Approved:
_____________________________ Date:_____________
De Oppresso Liber
If you Have Questions about the
Application Email
Membership Chairman
