MEMBERSHIP APPLICATION - RENEWAL and NEW Memberships
     
        First Name: 

Last Name:   

     
 

Your RANK at retirement*:   

     
 If you were a CIVILIAN at the 67th but served in the military at some other time:

Your RANK while serving:   

     
 If you were a CIVILIAN at the 67th and NEVER served in the military:

Civilian Member Only:   

Yes    No
     
 If Military Member is Deceased:

Surviving Dependant of Military Member:

 Yes    No
     
 

Spouse:   

  Street Address:   
  City:   
  State:   
  If you selected "Other Country"
Fill in the details here.
     Zip:   
  Phone:   
  Email Address:   

*Our status with the IRS as a 501(c)19 non-profit veterans organization requires rank information
     
     

I served at the 67th:   

FULL MEMBER

 (Or are a surviving spouse)
     

I am a FRIEND of the 67th:  

ASSOCIATE MEMBER
   
   

Membership dues are $20.00 per membership which INCLUDES you and your SPOUSE.

(Surviving spouses of deceased 67th assignees are welcome to join as FULL members)
     

I am a MEMBER and this is a RENEWAL   

   
   

Membership runs from reunion year to reunion year.
This membership fee covers 2006 to 2008
 

I am a NEW member  

   
                  

MEMBERSHIP for you and your spouse:   

    $ 20.00            

This includes $5 for 67RTS Web Site

DONATION for the Association:   

  

Helps the Association with unexpected costs and items not covered by dues

TOTAL:   

  

Thank You!