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27th Infantry Regiment Historical Society, Inc.
The Wolfhound Pack—Membership Application
Check One: NEW RENEWAL
CHANGE MEMBER NUMBER
NAME: LAST
FIRST MI
ADDRESS
CITY
STATE ZIP CODE
-
HOME PHONE ( )
Check _____ for Newsletter on line to save postage and
printing costs.
(Print clearly)
E MAIL
Date
of Birth
Emergency Contact/Relationship
Phone
Unit Served with:
Company Battalion
________Dates served in the Regiment:
Active
Wolfhound Membership free two years
1 Year Membership Dues $15.00 1
Year Associate Membership Dues $15.00
Life Membership Dues $150.00
Associate Life Membership Dues $150.00
Life memberships can be paid in four
installments of $39.50 each quarter (Not over 4 years).
Dues are not deductible as a donation.
Donations
Archive Fund _________________Operating Fund__________
Newsletter_____________
Holy Family Orphanage _________ Scholarship _____________ 25th
Division Monument __________
Make all checks payable to the: 27th Infantry Regiment
Historical Society Inc. Or “Wolfhound Pack”
Mail application or donations to:
The Wolfhound Pack Membership Chairman
2625 S. Gila Rd.
Apache Junction, AZ 85219 |
