Membership Application
Yes! Sign me up as a Member of the U. S. War Dogs Association, Inc.
Name_________________________Address________________________
City___________________State________________Zip_________________
Phone No._____________________Fax No.__________________________
Email_________________________
Service Branch/Unit______________________________________________
Where______________________________When______________________
Dog Name____________________________Dog Number_______________
______________________________________________________________
Active
Duty ($20.00)____________
Check one(payment enclosed)
Veteran ($30.00)____________
Annual
Supporting($30.00)____________
Life ($250.00)____________
Additional Donation $_______________ for: U. S. War Dog Memorial.
_______________________________________________________________
Send printed form and payment to: U. S. War Dogs Association, Inc.
c/o Bucky Grimm, Treasurer
183 Cummings Avenue
Long Branch, New Jersey 07740
Make payment out to: U. S. War Dogs Association, Inc.
