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Membership Application DINFOS Alumni Association
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Name (Last)________________________ (First)______________________________
(MI)______
Address_________________________________
City_______________ State____ Zip_________
E-mail _________________________________ Home Phone (___)__________ FAX
(___)________
Please send Alumni Association Information to me via: (Check all that apply)
___ Mail ___ E-mail ___ FAX
School Affiliation: (Check all that apply)
___ Army Information School, Carlisle Barracks, PA
___ Air Force Public Information School, Craig AFB, AL
___ Navy Journalist School, Great Lakes Naval Station,
IL
___ Armed Forces Information School, Carlisle Barracks,
PA
___ Armed Forces Information School, Ft. Slocum, NY
___ Army Information School, Ft. Slocum, NY
___ Defense Information School, Ft. Benjamin Harrison,
IN
___ Defense Information School, Ft. George G. Meade, MD
What was your status at any or all of the above institutions? (Check all that
apply)
___ Graduate ___ Staff/Faculty Member ___ Currently enrolled
___Friend of The School
I am applying for the following membership:
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___ 1 year ($25 for E-5 or above or retired for 1 year)
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___ Life ($250 for age 39 and below)
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___ 1 year ($10 for E-4 or below) For those currently on active duty |
___ Life ($200 for age 40 through 59)
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___ 3 years ($60 for E-4 or above or retired for 3 years)
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___ Life ($150 for age 60 and over)
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___ 3 years ($25 for E-3 or below)
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Date of birth: ____________________
Signature ___________________________________________________ Date________________________
Enclose check or money order payable to DINFOS Alumni Association and mail to:
DINFOS Alumni Association Membership Committee,
P.O. Box 269295, Indianapolis, IN 46216-6200
For Committee use: $_______Dues Paid. Membership #___________ Date Issued
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http://dinfosalum.org
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