complimentary_membership_form

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Application for Initial Free Active Annual Membership Membership will be offered to all commissioned officers and warrant officers for a period of one year, and any portion of the year in which appointed. Membership begins upon initial state appointment, when reported to the Association, and ends 31 December of the following year. RANK_______NAME _______________________________________________ DATE ADDESSED AS OFFICER OR WARRANT OFFICER _______________ ADDRESS __________________________________________________________ CITY ____________________________________________________ STATE __________ ZIP _________________________ UNIT _________________________________________________ STATE AFFILIATION___________________________________________________________________________________ PHONE NUMBER______________________________E-MAIL ADDRESS__________________________________________ STATE AFFILIATION __________________________ SIGNATURE__________________________________

MAIL THIS APPLICATION TO YOUR STATE ASSOCIATION Addresses are available at: http://www.ngaus.org/membershippoc

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