485th Tactical Missile Wing
Alumni Association

Honorary Life Membership $ 50.00 

Honorary 3-year Membership $ 10.00 

Please complete this Application for Honorary Membership and mail to: 


485th TMW Alumni Association

P O Box 339

South Montrose PA 18843-0339

________________________________________________________________________

APPLICATION FOR HONORARY MEMBERSHIP
(please print)

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

Home Phone  (      )                         Work Phone(civ)  (      )

Email___________________________________

MO/YR ARRIVED_________________________

MO/YR DEPARTED_________________

[ ] 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