366th FIGHTER ASSOCIATION                                           AUDENTES FORTUNA JUVAT                               "ONCE A GUNFIGHTER, ALWAYS A GUNFIGHTER"                                                                              
366th Fighter Association
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Membership Application
NAME: ___John Doe__________________________________________________________________________________________________

ADDRESS: __123 Any Street__________________________________________________________________________________________

CITY: __My Town____________________________________________________ STATE: __ZZ________________ ZIP: __99000________

TELEPHONE: __999-555-1212_______________ EMAIL: [email protected]________________________________________

AGE: ____XX_________ SPOUSES NAME: ___Jane Doe___________________________________________________________________

ORGANIZATION: ____XXX - FBW, TFW, Wing, or Squadron etc.____________________ YEARS: __Assigned - From/To_________

MEMBERSHIP DUES:
ANNUAL MEMBERSHIP:
                                         REGULAR ------------------------------------------------------------------------------ $20.00
                                         ASSOCIATE ---------------------------------------------------------------------------- $15.00

LIFE MEMBERSHIP: ALL LIFE MEMBERSHIPS ARE AGE DEPENDENT: 
                               AGE
                 LESS THAN 45 YEARS -------------------------------------------------------------------------- $195.00
                 45 - 64 YEARS  ------------------------------------------------------------------------------------ $175.00
                 65 YEARS AND ORDER ------------------------------------------------------------------------- $145.00



                  ____________My Signature________________________________                                                 _____Todays Date____________
                                                       SIGNATURE                                                                                                                 DATE



Please send completed application and a check made out to the 366th Fighter Association to:

Ken Cody  attn: Membership
193 Lynbrook Street
Henderson, Nevada 89012


Membership # ________________________________                                                 Application # __________________________
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