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Join/Renew Membership

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RAMPART CHAPTER, ASSOCIATION OF GRADUATES

UNITED STATES AIR FORCE ACADEMY, P.O. BOX 316, USAF ACADEMY, CO 80840-0316

MEMBERSHIP FORM

ANNUAL DUES: $15.00 (Please make check payable to "Rampart Chapter".)

TYPE MEMBERSHIP: New _____ Renewal _____

NAME:________________________________________________________________

LAST NAME AT GRADUATION:_________________________________________

SPOUSE’S NAME:______________________________________________________

CLASS:____________

ADDRESS:_____________________________________________________________

_______________________________________________________________________

PHONE: (Home)___________________(Work)________________________________

FAX: (Home)______________________(Work)________________________________

E-MAIL (Please indicate primary and alternate): (Home)___________________________(Work)________________________________

ARE YOU INTERSTED IN VOLUNTEERING FOR A COMMITTEE OR FOR THE BOARD OF DIRECTORS? Yes__________ No_________

(If "Yes," a member of the chapter board will contact you with further information)

Please mail completed form, and check for dues, to:

Rampart Chapter, USAFA AOG, P.O. Box 316, USAF Academy, CO 80840-0316

Copyright 2003, Rampart Chapter AOG
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