SOCIETY OF THE FIFTH DIVISION, UNITED STATES ARMY
  
Membership Application/renewal Form
   

 

  

 

Please print this application and complete

 

 

 

Having served honorably with the 5th Infantry Division I wish to:

_____ Renew my Annual Membership:  $15.00 per year

_____ Join the Society as an Annual Member:  $15.00 per year

_____ Become a Life Member (one time payment):
                                $150.00 for those under the age of 61
                                $75.00 for those between 61 and 69
                                $50.00 for those 70 and older

 

 

My Service was during (indicate the dates of service by checking all that apply):

_______________ WWII (Oct 1939 Sep 1946)

_______________ Ft. Jackson, SC (Jul 1948 Apr 1950)

_______________ Indiantown Gap, PA (Mar 1951 Sep 1953)

_______________ Germany or Fort Ord, CA (May 1954 May 1957)

_______________ Ft. Carson, CO (Feb 1962 Dec 1970)

_______________ Viet Nam, 1st Brigade (Jul 1968 Aug 1971)

_______________ Ft. Polk, LA and Panama (Jul 1975 Dec 1992)

 

I served in:

____________
Company/Battery/Troop ____________  Battalion/Squadron of the ____________  Regiment

(EXAMPLE:  "A" Company, "1st" Battalion of the "11th Infantry" Regiment)

I did not serve with the 5th Division, but wish to renew/join the Society as an Associate Member:

_____ Renew my Associate Annual Membership: $15.00 per year

_____ Join the Society as an Associate Annual Member: $15.00 per year

_____ Become an Associate Life Member (one time payment):
                                $150.00 for those under the age of 61
                                $75.00 for those between 61 and 69
                                $50.00 for those 70 and over
 

PLEASE PRINT CLEARLY

 

Name: ___________________________________________________________

Street Address: ____________________________________________________

City: ____________________________________________________________

State:_________________________ Zip Code: __________________________

E-mail: ___________________________ Phone no: (______)_______________

Mail completed application with a check or money order [DO NOT SEND CASH] to:

Society of the Fifth Division, U.S. Army
Attn:  National Secretary John Estrada
423 Middlefork Ln
Oroville, CA 95966-8823

  

Please make checks or money orders payable to:  "The Society of the Fifth Division."

Note:  The Society of the Fifth Division, United States Army is a IRC 501(c)(4) Veterans' Organization.  A donation to the Society is tax deductible and greatly appreciated.