THE PSYOP ASSOCIATION
MEMBERSHIP APPLICATION
Please accept my Application for membership in the psychological operations Association. I have enclosed $30.00 for my yearly dues, Life Membership $500
NEW ____ RENEWAL____
NAME: ___________________________________________________________
TITLE: (Mr./Mrs./Miss/Military Rank) _________________________________
HOME ADDRESS: _________________________________________________
CITY: _____________________________ STATE: ____________ ZIP:_______
UNIT AFFILIATION: _______________________________________________
WORK PHONE: __________________ HOME PHONE:____________________
E-MAIL: ___________________________________________________________
FAX: ______________________________________________________________
SEND THE ANNUAL DUES OF $30.00 or $500 LIFE MEMBERSHIP TO:
PSYOP ASSOCIATION, PO BOX 20362, CANTON, OHIO 44701