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To:
Executive Director
82d Airborne Division Association, Inc.
P.O. Box 9308
Fayetteville, NC 28311-9308
From:
NAME ________________________________________
ADDRESS
CITY __________________________
STATE
_____________ ZIP _____________
PHONE NUMBER (area code)
(
)
Please transfer my membership from the
Chapter
to the 1SG Leonard A. FunkChapter.
Signature: _______________________________ Date: ________________
Please provide the following information to update National and Chapter database:
Rank_________ ASN/SSAN__________________
Dates of service with 82nd
or Airborne service from ____________to___________Abn/82nd units (be complete)______________________________________________________________
Present occupation:______________________________________________________________________
single___ married___ spouse's name__________________________ # of children______
Membership Card #________________________
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