MEMBERSHIP AND INFORMATION UPDATE FORM
Name ___________________________ Spouse ____________________________
Address ________________________ City _______________ State___ Zip ______
Home Phone _____________________ Cell Phone _________________________
eMail Address _______________________________________________________
Are you a prior member____ or a friend
____of the 55th Strat Recon Wing
 ?Are you a current/former member ___ or friend ___ of the 55th Wing?  When were you a member of the 55th SRW or 55th Wing? ________________________ Which 55th Unit(s) were you a member? ______________________________________ Are you on active duty? ____ If so, with what unit? ________________ Rank ________ What is your present occupation? ___________________________________________ Are you a widow/widower? _____ (Spouses of deceased members receive free lifetime membership.) |
Return this form with dues, if applicable
($10 per calendar year or $25 for 3 years) to:
55 SRW ASSOCIATION
6441 Avenida De Galvez, Navarre, FL 32566