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"An Association Of Life Savers And Care Givers That Served In Post world War II" |
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Dear Sir: Please accept my application for the USAMCJ Association. The information listed below is submitted to verify my qualification to join your organization. I will send a check or a money order to pay for my selected category of membership. I understand that ALL Membership will expire 31 December of last year paid. |
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Please Check Type of Membership |
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Regular 1 yr $10.00 |
Regular 2 yrs $20.00 |
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Associate 1 yr $5.00 |
Associate 2 yrs $10.00 |
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If you are the spouse, widow/widower, or child of someone that served a medical mission in Post WWII & wish to join our Association, check here |
| If the unit you, your spouse, or parent served in is not listed below,
enter it here
If retired from the military, please provide the following information:
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Tell us a little about yourself. Current status (i.e. current employment, hobbies, volunteer services, type of employment, etc. If retired, what type of work did you do? (Other than military)
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Patients at any of the medical facilities also qualify Print this Application, Then mail Check or Money Order To: USAMCJ Association Secretary & Treasurer Attn: Charles W.S. Jezycki 1918 Shurtleff Avenue Napa, CA 94559 |