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11th Airborne Division Association Membership Application
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(check one) NEW _____ Renewal ______ Life ______ Associate _____

Name:______________________________________________________

PHONE Num :____________________________________

STREET ADDRESS:_____________________________________________

CITY, STATE, ZIP:_____________________________________________

E_MAIL:_____________________________________________________

Spouse First Name:__________________________________________
SERVICE/OTHER INFORMATION

Dates of Airborne Servive:___________________TO____________________

UNITS:_______________________________________Rank:_________________

Wings Authorized: Glider:________ Parachute:_______ Air Assault:______

Master Parachutist:_________________ Senior Parachutist:_____________

Others (Specify):____________________________________________________
NOTE:
Regular or life membershipis open to anyone who served honorably in the 11th Airborne division, the 187th RCT or the 11th Airassult Division, at any time. Associate Membership is open to any one who wishes to preserve and honor the Airborne sprit.

Cost:     Life Membership: $175.00,
          Regular or Associate Membership: $24.00 per year

Make check payable:
to the 11th Airborne association and mail it to:

Charles J Magro,Treasure
11th Airborne Division Association
301 So. Dabney Lane
Rogersville, Al. 35652
Phone: 256-247-7390
e-mail: magro@hiwaay.net




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