380th BOMB GROUP ASSOCIATION

2004 MEMBERSHIP FORM

 

Date ____________________

 

Your Name ___________________________________________________________

Squadron _______________ 380th Duty _________________________________________

Please check if you are a * Regular Member ____ or an Associate Member ____

**Associates: 380th Veteran's Name: _____________________________________

Relationship: _____________________________

Address ____________________________________________________________

City ___________________________________ State _________ Zip ________________

Phone _______________________ E-mail ______________________________________

Spouse's Name __________________________________

* Regular member means an original member of the 380th Bomb Group.

**Associate member means a family member (or other affiliation) of an original member. If you are an Associate, please give the name of the original member, your relationship to that person, and his squadron number.

Annual payment of $20 payable to Carnevale & Associates will help defray costs of mailings throughout the year. Please mail your registration form and check to:

Carnevale & Associates
P.O. Box 1230
Sonoita AZ 85637

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Thanks to all of you who have already made your annual payment!!