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....Print this form, fill out, then mail it to the below address.....
 

ANGLICO ASSOCIATION MEMBERSHIP

APPLICATION FORM

  

     NAME:      ______________________________________________________

 

     ADDRESS:______________________________________________________

 

                  CITY:___________________STATE:__________    ZIP:__________

 

 

     TELEPHONE:__(_____)_____________   CELL PHONE__(____)_____________

 

     EMAIL:______________________________

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     CIRCLE THOSE UNITS YOU SERVED WITH:

 

                      * ANGLICO: 1st   2nd   3rd   4th   or 5th

                      * JASCO:  1st    2nd   3rd    4th   5th   or 6th

                      * ASCO

                      * DIVISION AIR AND NAVAL GUNFIRE SECTIONS

 

     WHEN:  ______________  

 

     WHERE: ___________________________________

 

     USMC_____    USN ____

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DUES: $15.00    CHECK_______  OR  MONEY ORDER________

 

PAYABLE TO: ANGLICO ASSOCIATION

MAIL APPLICATION AND PAYMENT TO:

Joe L. Luque

This Section To Be Completed By Association Secretary

2247 Randolph St.Membership # Assigned:_____________
Delano, CA 93215-1240Year Joined: ______________