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P.O. Box 1071 Austin, Texas 78767-1071
Membership Form Please make your check payable to AMOAA and mail it along with the completed form Annual Dues: Officers $17.00 Widow or Widower of an Officer $12.00
Last Name: ___________________________ First: __________________ MI: ____ Rank: ___________ Service: ____________ Spouses First Name: ________________ Address: __________________________________________________________ City/State/Zip: ______________________________________________________ HomeTele: _______________________ WorkTele: __________________________ CellTele: ________________________ Email: ______________________________ National #: __________________
Special Interests or Hobbies: ____________________________________________ __________________________________________________________________ Signature: ________________________________ |