Lackland Spouses' Club
MEMBERSHIP APPLICATION 2018-2019
NAME *
Your answer
EMAIL *
Your answer
PRIMARY PHONE *
Your answer
ALTERNATE PHONE
Your answer
CURRENT ADDRESS *
Your answer
CITY *
Your answer
STATE *
Your answer
ZIP *
Your answer
BIRTHDAY
MM
/
DD
/
YYYY
AFFILIATION *
Required
SPOUSE INFORMATION
NAME *
Your answer
RANK *
Your answer
DUTY ORGANIZATION *
Your answer
DUES: $40 for active duty /retiree spouses and $0 for widows who wish not to have voting rights. (dues for members joining after Jan 1 is $20)
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