14TH CAVALRY ASSOCIATION

 MEMBERSHIP APPLICATION

(Fill-in online and print)

NAME:   Last:   First:   Middle or Initial:

Suffix (Jr., Sr., III):    Title    If  you are retired from military service enter your rank
                                                 Veterans who did not serve to retirement enter Mr., Dr. or other  civilian title

Status:    (Active & Retired Select Appropriate Status)  Veterans bypass this box.

  If friends know you by a name other than your full first name please enter it here

  Date of birth (m/d/yy):  e.g. 5/12/38              Name of Spouse:

 ADDRESS: Street/Line 1:  Line 2:

City:  State:    Postal Code:   Country: (If not USA)
  E-mail address:      Home Phone:     (Include area code)
  I served, or am serving, in (Select the formation and use the applicable section (s) below))

  I am currently serving with (Select applicable major unit)

  This tour began:  Yr (2-digit):     Mo. (2-digit):                

   I am serving in  troop/company and my duty position is (please abbreviate)

My first COMPLETED tour was with (Select applicable major unit) of (Select formation)

  This tour began:  Yr (2-digit):    Mo. (2-digit):                and ended  Yr (2-digit):    Mo. (2-digit): 

  and I served with the following troops, companies, or batteries in this order: (e.g. A, HHT, C)

  Rank at end of tour:  (Please enter abbreviation - such as 1LT, SFC, SSG, SGT, SP4)

   My main/longest service was with Trp/Co/Btry as: (duty positions - please abbreviate)

If you have served a completed tour after the one you have described above please list it in this section 

 I have also served a tour with with  of  

  beginning  Yr (2-digit):   Mo. (2-digit):              and ending   Yr (2-digit):   Mo. (2-digit):              and on this tour I

  served with the following troops, companies, or batteries in this order: (e.g. A, HHT, C)

  Rank at end of my second tour  (Please enter abbreviation - such as 1LT, SFC, SSG, SGT, SP4)

  My main/longest service on this tour was with Trp/Co/Btry as: as (duty position - please abbreviate)

 If you have served more than two tours in the Regiment please use this section:

  In addition I have served with of
  beginning  Yr (2-digit):  Mo. (2-digit):    and ending   Yr (2-digit):   Mo. (2-digit):

  On this tour I served with the following troops, companies, or batteries in this order:    (e.g. A, HHT, C)

  Rank at end of my third tour:  (Please enter abbreviation - such as 1LT, SFC, SSG, SGT, SP4)

   My main/longest service was with: Trp/Co/Btry as: as (duty position - please abbreviate)

  I am sending $ ($14 per year— Lifetime Membership $140)  by check or money order for membership dues  payable to 14th Cavalry Association.  I am also enclosing an additional donation of $  to further the objectives of the Association.  The Association is a 501 (c) (19) non-profit corporation.  I authorize release of my mailing address and my e-mail address only to other members of the Association (cross out one or both if NOT to be released).

Signature:_____________________________________   Date:_____________________

Check/MO #:

MAIL TO:

Secretary
14th Cavalry Association
PO Box 8034
Lacey, WA  98509-8034


 Other information that you would like to have included in our record can typed in the box below or sent by email to the Secretary.

Print and send a copy of the completed form with your check or money

order and retain a copy of the completed form for your records.

If you to prefer to complete an application by hand rather than by computer, please use this form instead.    

This form is new.  Any suggestion for improved design can be sent to the Secretary.