Membership Application, Rocky Mountain Chapter, 1st Cavalry Division Association

I, (print full name)   * , by signature here on, certify that I am a Veteran of Service with the 1st Cavalry Division, and wish to join the Rocky Mountain Chapter of the 1st Cavalry Division Association. When accepted as a member, I agree to pary all dues and assessments when due, I further understand that I must also be a member of the 1st Cavalry Division Association.
When with the 1st Cav Div:    *
Where:    *
Unit:    *
Additional Comments:  
Address:  
 
 
Phone:  
E-Mail Address:    *

I certify all of the above is true and correct to the best of my knowledge and belief.
Signature:       Date: 
Note: * Information will be displayed on our web site.

Please return this application for membership with your dues to:
Carl (Ed) Bruer, Treasurer
5765 Dusty Chaps Drive
Colorado Springs, CO 80922

Membership and Dues
Regular Member First Year Dues:  $25.00
Regular Member Annual Dues (second year & thereafter):  $10.00
LIFETIME MEMBERSHIP:  $100.00

Please indicate which of the following you do not want shared or displayed on our web site:
Address
Telephone Number
E-Mail Address

   Please complete this form and then click the "Click to Print" button. Mail your form to the address indicated on the form along with your membership dues.
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