Please print this application, fill it out and mail it with 
a check or money order to the address below.

27th Infantry Regiment Historical Society, Inc.
The Wolfhound Pack

Membership Application

NEW________ RENEWAL_________ MEMBER NUMBER__________

NAME--LAST______________________________ FIRST______________ MI______

ADDRESS_________________________________ CITY____________________

STATE______ ZIP CODE__________-_______
HOME PHONE (_____) _______________
WORK PHONE (_____) _______________
E MAIL _____________________________

Unit served in:  Company _______________    Battalion: ________________

Date served in the Regiment:________________________

Please give the unit you wish to appear on your membership
 certificate:   _________________________________________________________

First Year Member Dues $15.00_________
First Year Associate Member Dues $15.00_________
Second Year Member Dues $15.00_________
Second Year Associate Member Dues $15.00_________
Life Member Dues $150.00 _________
Associate Life Member Dues $150.00 _________
Dues are not deductible as a donation. Life memberships can be paid in four installments of $39.50 each quarter (Not over 4 years).

Donations:              Archive Fund __________ Operating Fund__________
                Holy Family Orphanage_________  Scholarship Fund_________
All donations (but not your dues) are tax deductible under the Internal Revenue Code.
Make all checks payable to the 27th Infantry Regiment Historical Society Inc. 
or The Wolfhound Pack

Mail application to: The Wolfhound Pack, ATTN: Membership Chairman, 
2625 S. Gila Rd, Apache Junction, AZ 85219 

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V2.6  11/06/2004

 

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27th Infantry Regimental Historical Society, Inc.
The "WOLFHOUND PACK"