193 Application


Full Name:  Rank:  

Date of Birth:   Spouse Name:    

Street:  City:  State:  Zip:   

Home Phone:  Cell Phone:   

Total Time of Service:  Time Served with the 193rd:   

Last Squadron Assigned:   

193rd Status

Email address: Use personal email address, not military

Type Membership

Annual Membership $15.00. Lifetime Membership (to determine your dues, subtract your age from 100 and
multiply that by three) Membership shall run from 1 January to 31 December. Dues paid after 1 October will be applied to the next year.:  Type Membership


I am on a free membership

Method of Payment

If Check please include check number and Mail payment to 193rd SOW Association 81 Constellation Court #14 Middletown Pa 17057:   


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When signed online you can download the PDF for your records.


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Signature Certificate
Document name: 193 Application
Unique Document ID: b2015b9f3eb7b0c4c0c49bdbceb75fbfe9c21319
Timestamp Audit
2016-07-08 16:15:32 EDT193 Application Uploaded by Michael J Kelly Owner PAontheweb LLC - [email protected] IP 2601:983:8001:b610:843a:3bf4:e35e:e19b