| New Membership and Renewal Forms |
Annual dues are $15 for Regular Member / $25 with Associate wife (who is serving with or has previously served with or was attached to the 5th Cavalry) and $15 for Associate Members and Friends of the 5th Cavalry. One years newsletter is included in the dues. Paid for life fee is $225 for Regular or Associate. Please complete the following application, send it along with your check or money order payable to 5th U. S. Cavalry Association to: Frank Edger, Vice President Membership The 5th U. S. Cavalry Association 3069A SPENCER HILL ROAD CORNING, NY 14830-9530 Phone: (607) 936-6708
PLEASE PRINT ALL INFORMATION
Please check the appropriate MEMBERSHIP category: REGULAR _____ASSOCIATE_____
Please check the appropriate APPLICATION category: NEW MEMBER ______RENEWAL________
Name: ___________________________________________ Date of Birth: __________/__________/_________
Mailing Address: _______________________________________________________ Apt/Ste/Lot: ___________
City: ________________________________________________ State: __ __ Zip + 4: __ __ __ __ __-__ __ __ __
Home Phone: (__ __ __) - __ __ __-__ __ __ __ Work Phone: (__ __ __) - __ __ __-__ __ __ __
FAX: (__ __ __) - __ __ __-__ __ __ __ email address: _______________________________________________
Spouses Name: __________________________________ *Eras of Service: _____/____/_____
Eras: For the different War Eras you served in, please put the initials in the Eras section on the form above. This will help us when we recognize and honor veterans from different eras and help us to look up those who served at a certain time. The abbreviations are: HT pre-WWII $ Horse Troopers WW World War II PJ pre-Japan JP post-Japan KW Korean War PK post Korean War 57 65 VN Vietnam DS Desert Storm (Gulf War 91) FH Fort Hood BO - Bosnia IF Iraqi Freedom I served with the 5th Cavalry or was attached to: Company or Troop ___________________ Battalion or Squadron _________________ Platoon ____________________________ I served from _____/____/_____ to _____/____/_____ Other units I served with during war times: __________________________________________________________ I am a member of the 1st Cavalry Division Association: Yes _____ No _____
Signature: ______________________________________________________________ Date: _____/_____/20___
Recruited for membership by: _________________________________ Status: (Active Duty / Retired / Veteran)
DO NOT DETACH -MEMBERSHIP COMMITTEE INFORMATION ONLY Check # __________ $ ___________ Dated: _____/_____/20___ Date due for renewal: _____/_____/20___ Membership Card LAMINATED & Mailed: _____/_____/20___ 5th CAV decal issued (new members only) _____ Copy to VP Membership ______ Copies to database ______ Date posted to database: _____/_____/20___
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