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Join, Renew or Update your membership with the |
3 Year Membership - $35.00 5 Year Membership - $55.00 Renewal - $10.00 per year |
Join or Renew your membership by printing this page, |
Mail your form, along with a check or money order to: NASAA, C/O Kenny L. Ley |
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National Army Security Agency Association
Membership Application & Renewal Form |
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Type of Membership (Check one) |
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Regular |
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Affiliate |
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Associate |
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PAYMENT AMOUNT TO ENCLOSE (CHECK ONE) |
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Dues Enclosed: |
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1 Year - $15 (New Member) |
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3 Years - $35 (New Member) |
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5 Years - $55 (New Member) |
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Renewal $10 per year |
Please enter number of
years and amount enclosed: |
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Member Information - use separate sheet if necessary
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Name: |
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Referred By: (Name & email) |
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Spouses First Name
(Optional) |
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Address: |
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Address Cont |
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City, State, Zip code |
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E-mail Address: |
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Dates of service: |
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MOS/TITLE |
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Duty Stations: |
1. |
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RE-UP (Renewal): Pick Your Sticker (circle one) |
1. ASA |
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Additional duty stations and or comments: |
Please list on back |
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PRIVACY SELECTION: |
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Send to: NASAA, C/O Kenny L. Ley, |