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Air Force Cyberspace and Air Traffic Control Association
Membership Application
MAIL TO:
Leslie McCormick, 3432 E Galloway St
Springfield MO 65804-4752
Membership dues are $42.00 due every two years.
Life Memberships are $150.00
Renewal _______ New Membership_______ Life Membership _______
Donation________
Amount enclosed: $____________
(Make check payable to “AF Cyberspace and Air Traffic Control
Association”)
PRINT CLEARLY – PLEASE COMPLETE ALL INFORMATION
Date: ___/___/___
First Name _________________________________ MI ___
Last Name________________________________________________
Street Address __________________________________________________
City_______________________________ State_____ Zip ______________
Phone Number (_____) ______-__________
e-Mail Address: __________________________________________________
Year of Birth ________
Spouse’s Name __________________________________
Do you wish to have a copy of the Communicator mailed to you (it is
available on the web): Yes No
How were you recruited: ________________________________________
(Members name, magazine, website, etc)
If you have any questions, contact Leslie McCormick at (417) 365-1837
32 November 2024 Communicator
