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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.
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