Join AFA - Sijan Chapter

AFA Membership Application
Lance P. Sijan Chapter

Name:	___________________________________
Grade:	___________________________________
Date of Birth:	___________________________________
Street Address:	___________________________________
City:	___________________________________
State:	___________________________________
ZIP+4:	_______ - ______
Chapter Affiliation:	Lance P. Sijan
Email Address:	___________________________________

ELIGIBILITY

I am eligible as a member or patron as show and understand the annual $36 fee includes a subscription ($18) to Air Force Magazine. The fee is not deductible as a charitable contribution for federal income tax purposes.

PROFESSION

_____	DAF Civilian (Veteran)
_____	Previous Service US Armed Forces
_____	Current Active Duty
_____	US Armed Forces
_____	Reserve of any of the US Services
_____	Spouse/Widow(er)
_____	DAF Civilian (Non Current Service)
_____	Current Service US National Guard
_____	Patron (no service with Armed forces)
_____	Retired US Armed Forces (provide AFA Member Number if Renewal: _________)

JOB FUNCTION

_____	USAF (including civilian)
_____	Management
_____	R&D
_____	NASA
_____	Engineering
_____	Professional
_____	Other US Government
_____	Operations
_____	Other
_____	Aerospace Industry
_____	Procurement
_____	=>GS-15

MEMBERSHIP OPTIONS

_____	1 Year - $36 US
_____	3 Years - $90 US
_____	Life - $500 US

METHOD OF PAYMENT

_____	Check enclosed (not cash) - Make Checks Payable to: Air Force Association Lance P. Sijan Chapter
_____	American Express
_____	MasterCard
_____	Visa

Account number:	_______ _______ _______ ________
Exp. Date:	___ / ___ (i.e. 05/00)

Signature:	_________________________
Date:	_______________

MAIL THIS COMPLETED APPLICATION TO:

Air Force Association
C/o Lance P. Sijan Chapter
P. O. Box 15007
Colorado Springs, CO 80935-5007

Last Updated on Wed, February 27, 2008 2:46 AM