401st BOMBARDMENT GROUP (H) ASSOCIATION
MEMBERSHIP APPLICATION FORM

 

George Menzel, Secretary/Treasurer
401st Bombardment Group (H) Association, Inc.
P.O. Box 15356
Savannah, Georgia  31416

 
I would like to become a member of the 401st Bomb Group Association.

            Name:		 _______________________________________________________            

            Spouse's Name:		 _______________________________________________________

            Street Address:  		_______________________________________________________

            City State Zip:		 ___________________________   _______  __________-________

            Telephone:		 ( _____ ) _________________ Fax: ( _____ ) __________________

            E-Mail:		 _______________________________________________________

  I've enclosed my check for $10 annual dues, payable to "The 401st Bomb Group Association".
    
Veteran of the 401st?          Yes            No 

Unit (Squadron, Support Unit, etc.):  ________________________________

Duties (Pilot, Gunner, Mechanic, Ordinance, etc.):  ________________________________

If not a 401st veteran, indicate the name and relationship of any relative who served in the 401st:
Name _________________________________ Relationship ________________________
(If you are a relative of a veteran of the 401st, please fill in his Unit and Duties, if known)
 
 
 
www.401bg.com (revised 09 Dec 2002)