Today is: Sunday, May 11, 2008 |

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PRIVACY ACT STATEMENT: The authority to request this information is contained in Public Law 86-36 and Executive Order 12036. The principal purpose of the information is to establish a mailing list for membership rosters containing the name, address and telephone number of all members of the association periodically. Furnishing the information is voluntary; failure to provide the requested information will result in your not being listed. Your signature below* indicates that you have read and understand the above. *SIGNATURE _____________________________________________ |
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One-year membership dues are $15.00. Make your check or money order payable to the FREEDOM THROUGH VIGILANCE ASSOCIATION, fill out this application and mail it to: Freedom Through Vigilance Association, P.O. Box 691616, San Antonio, Texas 78269-1616. ____ NEW MEMBERSHIP ____ RENEWAL ___ CHANGE OF ADDRESS Last Name _____________________ First Name _________________ MI.______ Grade/Rank (optional) __________ Retired? (optional) Y / N Phone Number ________________________________________ Address ______________________________________________________________ City ________________________, State ___________________ Zip ________-_____ E-Mail Address _____________________________________ HAM Call Sign _________ ORGANIZATION (USAFSS/ESC/AFIC/AIA/AF ISR Agency) AND YEAR OF LAST ASSIGNMENT _____________________________ OLD
ADDRESS (For address change only) Last Name _____________________ First Name _________________ MI.______ Address ______________________________________________________________ City ________________________, State ___________________ Zip _________ Yearly Memberships are $15.00 Life memberships are based on your current age as follows: ___ 76 and over ............... $55 ___ 71-75 ...................... $75
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To E-mail the Freedom Through Vigilance Association, select one of the below: |
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Freedom Through Vigilance Association PO Box 691616 San Antonio, TX 78269-1616 |
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