| *Print out this application and mail it in. . .Thank You.... |
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*Our
Membership Dues are $30 annually (June-May)
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| Date: _________________________ New Member: ______ Renewal: ______ |
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Name: ________________________________________________________ Date of Birth: ____________ Address: ____________________________________________________________________________ City: _________________________________________ State: __________ Zip Code: ______________ Telephone Numbers: Home: _________________________ Work: _____________________ E-mail: _________________________ I would like my E-Mail Address to be published on the SDIT National Web Site: Yes ____ No ___ (http://www.sdit.org/Email.html) Would you like us to send SDIT info to a sibling? Please provide postal mailing address on the back of this form. |
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am a: (Please Circle)
Son Daughter Widow Brother Sister Parent Veteran Someone Who Cares Other Relative: _______________________ Name of loved one being remembered: ______________________________________________ Rank: ___________ Branch of Service: ___________ Military Unit: _________________ Casualty Date: ____________ How did you find out about SDIT?: __ Family __ Internet __ Periodical __ Veteran Org __ Friend __ Other_________ Membership Type:
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Please
make checks payable to:
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Office Use Only: Date Received: _________________ Welcome Letter Sent: ______________ Info Forwarded to Internet Manager: _____ 091497 071998 010299 033102 032207 042807 |