Today is:
Monday, February 6, 2012

Freedom Through Vigilance Association

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 _____________________________________________

One-year membership dues are $20.00. 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 Regular Membership*	_____ Regular Membership Renewal
_____ New Associate Membership**	_____ Associate Membership Renewal
_____ Regular Life Membership*	_____ Associate Life Membership**
_____ Change of Address

Last Name _____________________

First Name _____________________

M.I. _______

Phone Number ___________________________

Address ____________________________________________________

City _____________________

State _______ Zip ___________-_____

ORGANIZATION (USAFSS/ESC/AFIC/AIA/AF ISR Agency)

ASSIGNMENT _____________________________

Inclusive years of service ____/_________ to _____/_________
(MM/YYYY) (MM/YYYY)

Optional Information

Grade/Rank _______________/_________________________

Retired? Y / N

E-Mail Address: _____________________________________

Cellphone: _________________________________________

Call Sign: __________________________________________

OLD ADDRESS (For address change only)

Last Name _____________________ First Name _________________ MI.______

Address ______________________________________________________________

City ________________________, State ___________________ Zip _________

Yearly Memberships are $20.00

Life memberships are based on your current age as follows:

___ 76 and over ............... $75 ___ 71-75 ...................... $95

___ 66-70 ...................... $115 ___ 61-65 ..................... $160

___ 56-60 ...................... $170 ___ 51-55 ..................... $185

___ 46-50 ...................... $200 ___ 41-45 ..................... $220

___ 36-40 ...................... $235 ___ 31-35 ..................... $250

___ 30 and under............. $265

*Regular Membership:

Former military and civilian personnel of the United States Air Force Security Service (USAFSS), Electronic Security Command (ESC) and Air Force Intelligence Command (AFIC), Air Intelligence Agency (AIA), and past or present military and civilian personnel of the Air Force Intelligence, Surveillance and Reconnaissance Agency (AF ISR Agency).

**Associate Membership: Applies to the following categories:

(1) Surviving spouse of deceased individual who would qualify as a regular member.
(2) Vigilant Partner organizations who actively support AF ISR Agency recognition programs.
(3) DOD personnel (as individually approved by the Board of Directors) who, because of their close association to USAFSS, ESC, AFIC, AIA, or AF ISR Agency, perpetuate the objectives of the Association.
(4) Air Force personnel, assigned to intelligence organizations which are not assigned or attached to the Air Force ISR Agency, who support and perpetuate the objectives of the Association. The Board of Directors may designate persons eligible for membership in this category as individuals, by Air Force specialty, or may designate organizations whose members are eligible as a group.

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Our mailing address is:	To E-mail the Freedom Through Vigilance Association, select one of the below:
Freedom Through Vigilance Association PO Box 691616 San Antonio, TX 78269-1616	Sign the Guest List: Web Sign-In Form General questions: FTVA Information The President: Newsletter Articles: Membership: Membership Question Form Heritage Chapter related questions: Web Site: Website Question Form
Last Modified: January 28, 2012