Central Pennsylvania Chapter

 

 

To become a member of the Chapter and Association, you must have successfully completed basic Airborne school or qualified as a Gliderman, served with or were attached to the 82nd Airborne Division (even if you were not on jump status). This includes all Airborne Divisions, Regiments, Combat Teams, Airborne Brigades, Airborne Rangers, Marine Corps Recon, Navy Seals and Air Force Rescue just to name a few. All Airborne Troopers from any time period of service are welcome!

 

                               Highlight application and print send to address on application. 

82^nd AIRBORNE DIVISION ASSOCIATION, INC.

CENTRAL PENNSYLVANIA CHAPTER

MEMBERSHIP APPLICATION

 NEW MEMBERS MUST COMPLETE ALL PARTS OF APPLICATION

 

PLEASE PRINT                                                                TODAYS DATE: Day          /Mo.        /Yr._________

            

RENEWAL  □                                                         NEW MEMBER   □                          REINSTATEMENT   □                ALL AMERICAN MEMBERSHIP    □

 Annual subscription to PARAGLIDE and Chapter Newsletter included in the cost of membershi

Annual Dues: $15.00.  All American, Paid Up for LIFE: $100.00 for ages 50 and over;

$150.00 under age of 50

 

Enclosed is $ ________   Membership Dues for calendar year(s) ________ 

or

All American (Life Membership) $________

 

NAME                                                                                       STREET                                                                              

 

 CITY & STATE                                                                   ZIP (9 Digit)                           TEL: (       ) ___________________

         

RANK                 ASN:                    OR  SSN:                                                 BIRTH DATE:             /_______/ ________ 

                                                                                                                                                 Month      Day           Year

AIRBORNE UNITS Be Complete___________________________________________________________________

 

_______________________________________________________________________________________________

 

_______________________________________________________________________________________________

 

DATES OF AIRBORNE SERVICE: FROM MONTH            YEAR          TO MONTH         YEAR ____________         

 

PRESENT OCCUPATION                                                                                  SINGLE    □       MARRIED  □  

 

SPOUSES NAME                                                                         SPOUSE  BIRTH DATE       /       /        # OF CHILDREN  _____    

 

Would you prefer to receive your Chapter Newsletter via Email?  If so: (PLEASE PRINT CLEARLY)

Email Address:________________________________________________________________________________________

 

Please fill in application completely and legibly.  DOB information is optional, but appreciated for Birthday Greetings.

New members MUST include proof of Airborne/Glider qualifications OR service with the 82^nd Airborne Division.

Make check payable to: Central PA Chapter, 82^nd ABN Div Assoc., Inc. and mail with completed application to:

Paul Hendrickson, Membership Chairman

868 Eppley Road

Mechanicsburg, PA 17055-9502

Telephone: (717) 766-7082

Email: Hendrickson82@verizon.net