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:   

 

You can sign by accepting the way the system presents your name or actually sign it with your mouse or finger on mobile devices.

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

 

Leave this empty:

We Who Served Documents https://www.wewhoserved.com/documents
Signature Certificate
Document name: 193 Application
Unique Document ID: 24ac01c8b988434a9acff8dfabd7ab6fbd8b7ff1
Timestamp Audit
2016-07-08 16:15:32 EST193 Application Uploaded by Mike Kelly Kelly - [email protected] IP 2601:0983:8001:b610:d5c7:f0ff:45ff:9896