"Fames Favored Few"

92nd USAAF-USAF Memorial Association

Dues & Membership Form

Print and Mail Application to:

Irving Baum

Secretary- Treasurer

3935 Young Ave

Napa, CA 94558-2654

Name: ______________________________

Address: ____________________________

City, State ____________________________

Zip code ______ _______

(Please use nine digits on the zip code.)

Phone Number: ____________________

(OPTIONAL)

Spouse's First Name: __________________________

92nd Unit/s _____________________

Specialty: ___________________________________________________________

Dates Assigned: ______________________

POW Capture Data

Date ____________________

Place ___________________

Stalag Luft # _____________

(if WWII Veteran)

[ ] 92nd Veteran

(92nd BG, BW, Air Refueling Wing Veteran)

[ ] Associate Membership

(Non 92nd Veteran. Historians, General Interest)

Dues $20.00/year _________

Memorial Contribution

$___________ For: __________________________________________

Total Enclosed: $ ________

Make check payable to: 92nd USAAF-USAF Memorial Association.

Thank You for Keeping Our History Alive!