APPLICATION FOR HONORARY MEMBERSHIP
(please print)

LAST NAME:_____________________ FIRST NAME:___________________ MI:____
ADDRESS:______________________________________________________________
CITY:_______________________ STATE:________ ZIP:__________ PLUS:______

Home Phone  (      )                         Work Phone(civ)  (      )

[ ] Yes, I want to be an Honorary member of the Association
           [ ] No, I am unable to join at this time but keep my name
on the mailing list.
[ ] Enclosed is a donation to the Association........
Amount enclosed:______________

PLEASE MAKE CHECKS PAYABLE TO: 485th TMW Alumni Association