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             173d Membership Application
Mail to:
Dennis Hill, 97 Earle St., Norwood, MA. 02602-1504 Join on line at www.skysoldier.net
   First Name Middle Initial Initial Password: Any combination of 7 numbers & letters
Last Name Street Address
Zip Code Cell Phone
Dates Assigned Email address
       City
Home Phone 173d Unit Assigned to Chapter Assigned to
Date of Birth
Annual $24.00
Magazine Delivery
State
Type Membership
Life
                Annual
Associate
US Mail
   Life $173.00
Digital Email
        Checks payable to: 173d Airborne Association *** Active Duty 173d Members only ***
 Annual: $16.00
Life: $121.00
DEROS Street
State, Zip code Alt Email
   ETS
Home of Record City
Military Email Date of Birth:
Magazine delivery Digital Email only
            Active duty personnel applying for these levels will waive their ability to receive quarterly Sky Soldiers magazines by mail, but will be able to view them on line at: www.skysoldier.net. When departing active duty, Annual Membership fees will revert to the standard $24.00 annual membership fee, $173.00 life membership.
 Info, questions: Dennis Hill, 781-769-6062 10:00 – 19:00 EST
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