Please PRINT this form and MAIL with check
to:
SPECIAL FORCES ASSOCIATION
The Ozarks
Chapter 82
C/O Jim Rougeau
465 River Bluff Rd.
Last__________________________________
First______________________________ M.______
Mailing
Address____________________________________________________________________________
City_____________________________St_________Zip+4______________-________
Membership Type ___
Associate ____General ___
Decade, Awarded Prefix
"3" Suffix "S", 5G, 18/180 MOS on (Date) ________________
SSN
____________________________Telephone (______) _________________
E-Mail
address ____________________________________________________________
How
Did You Know About or
Who
Referred You to SFA
_________________________________________________________Member
ID______________
Or By Web ______________ How?_______________________________________________________
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Total years and months of service to Special Forces and/or related Units _________Years _________Months SF ASSIGNMENTS |
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UNITS |
INCLUSIVE DATES |
UNITS |
INCLUSIVE DATES |
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MEMBERSHIP QUALIFICATIONS
1. All units
officially listed on the 1st SF lineage certificate are acceptable for
membership. Also acceptable are Office of Strategic Services, Ranger units,
Partisan Forces Korea, 110th Recon, and school assignments requiring a PCS from
any SF unit. (Must be in conjunction with Special Forces
Duty.)
2. DECADE
MEMBER: Decade membership may be granted to a person who is or has been a
member of the US Army Special Forces, including the US Army Reserve and
National Guard for a minimum of ten years, who has been awarded a prefix
"3" or Suffix "S", 5G, 18/180 series and, if discharged,
received an Honorable Discharge. Decade membership may also be granted to
members who have a combination of 10 years Special Forces duty and Special
Forces Association membership. (Documents required.)
3. GENERAL
MEMBER: Membership may be granted to a person who is or has been a member of
the US Army Special Forces, including the US Army Reserve and National Guard,
who has been awarded a prefix"3" or the suffix "S", 5G,
18/180 series MOS and, if discharged, received an Honorable Discharge.
(Documents required.)
4. ASSOCIATE
MEMBER: Associate membership may be granted to any person not qualified as
above, but who has contributed significantly to the support of Special Forces,
or its lineage, in the accomplishment of its mission. Applications for
Associated membership are subject to the approval of the Membership Committee.
Proof of contribution to Special Forces must accompany the application.
AUTHORITY
FOR RELEASE OF INFORMATION AND RECORDS
I hereby authorize and consent to the release of
information and records bearing on my military service, to the Special Forces
Association. The information will be used for the purpose of
determining my qualifications for membership. I further certify that the
execution of this form is voluntary and shall be valid for one year after my
signing.
Signature:
___________________________________________________________ Date:_______________
Reviewed by: _____________________ SFA Member No:
________ Date: _________(SFA Member in Good Standing)
I understand that Special Forces Association
membership entitles me to the rights and privileges specified in the provisions
of the Special Forces Association Constitution. Enclosed is a check or money
order for $30.00 payable to the SFA for the initiation fee ($5.00) and first
year dues ($25.00). To maintain my membership, I will pay the annual dues of
$25.00 no later than January 31 each year. If paid after 31 January, I must pay
an additional $5.00 reinstatement fee (total of $30.00). Lifetime
membership is available to members in good standing at a cost of $300.00,
$330.00 if not in good standing.
Revised
Special Forces Association
C/O Jim Rougeau
Membership Chairman - Dale Harris
1.
To meet, remain in
touch with, and enjoy the camaraderie of former and present Special Forces
soldiers who have
2.
To keep alive those
precious Special Forces traditions that have bonded us
together through the years.
3.
To fittingly commemorate
and remember those gallant Special Forces soldiers who gave their all in the
defense of our
4.
To assist in the
education of the general public and the conventional military, helping them to
remain cognizant of the
6.
To assist other Special
Forces members in need, to provide assistance for their welfare and prosperity
within our
7.
To be a source of
inspiration and share my knowledge and experience with later members of Special
Forces, while
8.
To know that annually,
ten dependents of Special Forces soldiers are each eligible to receive
education scholarships
9.. To share the pride and esprit-de-corps that is known through
the earning
De Oppresso
Liber
If you Have Questions about the
Application Email
Membership Chairman
