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Please PRINT this form and MAIL with check to:

SPECIAL FORCES ASSOCIATION
Jan Roush, Treasurer
Special Forces Association - Chapter 39
1833 Max Road
Pearland, Texas 77581-7665

RENEWAL APPLICATION

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Last First MI

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Mailing Address
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City State Nine-Digit Zip code
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Telephone
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E-Mail Address

To maintain my membership, I will pay the annual dues of $30.00 no later than January 31 each year. If paid after 31 January, I must pay an additional $5.00 reinstatement fee (total of $35.00). Lifetime membership is available to members under 65 in good standing at a cost of $400.00. For members 65 and over, lifetime membership is available for $280.00


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