MEMBERSHIP APPLICATION 

Name:______________________________Nickname:_________________ 

Spouse’s Name:________________________ 

Address:________________________________________________________________ 

City:__________________________________State:_______________Zip:___________ 

Phone (Home)________________________Phone (Office)________________________ 

E Mail (Home)_______________________E Mail (Office)________________________ 

What Company and Platoon were you in:______________________________________ 

What Base Camp did you call home:__________________________________________ 

What Dates were you in the 709^th or 99^th:______________________________________ 

Dues:______ Annual - $  20.00   ______ 3 year - $ 50.00   Donations: _______________ 

Please make all checks payable to; 709^th Maint. Bn. & 99^th CSB Association and Mail to  

 Jim Bury 168 E 6th ST  St Paul, MN 55101 

Please refer to the web site at  www.alwaysable.org for more Info.