PRINT this form and MAIL with check to:
SPECIAL FORCES ASSOCIATION CHAP LXXXV
C/O Nelson Parrish
100 Paradise Harbor
Blvd. #504
North Palm Beach, FL 33408-5016
Last__________________________________ First______________________________ M.______
Mailing Address____________________________________________________________________________
City_____________________________St_________Zip+4______________-________
Membership Type ___ Associate ____General ___ Decade, Awarded Prefix "3" Suffix "S", 5G, 18/180 MOS on (Date) ________________
SSN ____________________________Telephone (______) _________________
E-Mail address ____________________________________________________________
How Did You Know About or
Who Referred You to SFA LXXXV_________________________________________________________Member ID______________
Or By Web ______________ How?_______________________________________________________
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MEMBERSHIP QUALIFICATIONS 1. All units officially listed on the 1st SF lineage certificate are acceptable for membership. Also acceptable are Office of Strategic Services, Ranger units, Partisan Forces Korea, 110th Recon, and school assignments requiring a PCS from any SF unit. (Must be in conjunction with Special Forces Duty.)
2. DECADE MEMBER: Decade membership may be granted to a person who is or has been a member of the US Army Special Forces, including the US Army Reserve and National Guard for a minimum of ten years, who has been awarded a prefix "3" or Suffix "S", 5G, 18/180 series and, if discharged, received an Honorable Discharge. Decade membership may also be granted to members who have a combination of 10 years Special Forces duty and Special Forces Association membership. (Documents required.)
3. GENERAL MEMBER: Membership may be granted to a person who is or has been a member of the US Army Special Forces, including the US Army Reserve and National Guard, who has been awarded a prefix"3" or the suffix "S", 5G, 18/180 series MOS and, if discharged, received an Honorable Discharge. (Documents required.)
4. ASSOCIATE MEMBER: Associate membership may be granted to any person not qualified as above, but who has contributed significantly to the support of Special Forces, or its lineage, in the accomplishment of its mission. Applications for Associated membership are subject to the approval of the Membership Committee. Proof of contribution to Special Forces must accompany the application.
AUTHORITY FOR RELEASE OF INFORMATION AND RECORDS
I hereby authorize and consent to the release of information and records bearing on my military service, to the Special Forces Association. The information will be used for the purpose of determining my qualifications for membership. I further certify that the execution of this form is voluntary and shall be valid for one year after my signing.
Signature: ___________________________________________________________ Date:_______________
Reviewed by: _____________________ SFA Member No: ________ Date: _________(SFA Member in Good Standing)
I understand that Special Forces Association membership entitles me to the rights and privileges specified in the provisions of the Special Forces Association Constitution. Enclosed is a check or money order for $30.00 payable to the SFA for the initiation fee ($5.00) and first year dues ($25.00). To maintain my membership, I will pay the annual dues of $25.00 no later than January 31 each year. If paid after 31 January, I must pay an additional $5.00 reinstatement fee (total of $30.00). Lifetime membership is available to members in good standing at a cost of $300.00, $330.00 if not in good standing. Revised 22 February 2000
1.
To meet, remain in touch with, and enjoy the camaraderie of former and
present Special Forces soldiers who have
2.
To keep alive those precious Special Forces traditions that have bonded
us together through the years.
3.
To fittingly commemorate and remember those gallant Special Forces
soldiers who gave their all in the defense of our
4.
To assist in the education of the general public and the conventional
military, helping them to remain cognizant of the
6.
To assist other Special Forces members in need, to provide assistance for
their welfare and prosperity within our
7.
To be a source of inspiration and share my knowledge and experience with
later members of Special Forces, while
8.
To know that annually, ten dependents of Special Forces soldiers are each
eligible to receive education scholarships
9.
To support command Chapter LX in sponsoring two annual $750.00
10.
To share the pride and esprit-de-corps that is known through the earning
De Opresso Liber