Please print this application, fill it out and mail it with
a check or money order to the address below.
27th Infantry Regiment Historical Society, Inc.
The Wolfhound Pack
Membership Application
NEW________ RENEWAL_________ MEMBER NUMBER__________
NAME--LAST______________________________ FIRST______________ MI______
ADDRESS_________________________________ CITY____________________
STATE______ ZIP CODE__________-_______
HOME PHONE (_____) _______________
WORK PHONE (_____) _______________
E MAIL _____________________________
Unit served in: Company _______________ Battalion: ________________
Date served in the Regiment:________________________
Please give the unit you wish to appear on your membership
certificate: _________________________________________________________
First Year Member Dues $15.00_________
First Year Associate Member Dues $15.00_________
Second Year Member Dues $15.00_________
Second Year Associate Member Dues $15.00_________
Life Member Dues $150.00 _________
Associate Life Member Dues $150.00 _________
Dues are not deductible as a donation. Life memberships can be paid in four installments of $39.50 each quarter (Not over 4 years).
Donations: Archive Fund __________ Operating Fund__________
Holy Family Orphanage_________ Scholarship Fund_________
All donations (but not your dues) are tax deductible under the Internal Revenue Code.
Make all checks payable to the 27th Infantry Regiment Historical Society Inc.
or The Wolfhound Pack
Mail application to: The Wolfhound Pack, ATTN: Membership Chairman,
2625 S. Gila Rd, Apache Junction, AZ 85219
V2.6 11/06/2004
