LONG RANGE RECONNAISSANCE ASSOCIATION (LRRA) NEW MEMBERSHIP APPLICATION LAST NAME: _____________________________ FIRST NAME: ___________________________ RANK: ____________________________Facebook Name :_______________________________ Phone #: (_____)______ ____________ EMAIL: ________________________________________ MAILING ADDRESS: __ ____________________________________________________________ ___________________________________________________________________________ _____ CITY: _________________________________ STATE: _____________ ZIP CODE: ____________ US Army LRRP/LRP/LRS Unit: ________ ____________ Dates of Service in unit: _____________ LONG RANGE RECONNAISSANCE ASSOCIATION Organized 27 June 2015 FORM DATE: MAR2019 Payment Options Circle your chosen method o Check
4
Embed
storage.googleapis.com · Web viewMake Checks/Money Order payable to Long Range Reconnaissance Association ELECTRONIC PAYMENT OPTIONS Submit DIRECTLY through PayPal PayPal – Send
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
LONG RANGE RECONNAISSANCE ASSOCIATION (LRRA)
NEW MEMBERSHIP APPLICATION
LAST NAME: _____________________________ FIRST NAME: ___________________________
CITY: _________________________________ STATE: _____________ ZIP CODE: ____________
US Army LRRP/LRP/LRS Unit: ____________________ Dates of Service in unit: _____________
Name of LRRA Member sponsoring you: _________________________________________;
OR: RECONDO SCHOOL Number: _______________.
I _________________________________ certify that I have served in a United States Army (PRINT FULL NAME)
LRRP/LRP/LRS Unit as identified above and that all information provided is true or correct.
_________________________________ __________________________________Signature Date
LONG RANGE RECONNAISSANCE ASSOCIATIONOrganized 27 June 2015
FORM DATE: MAR2019
FOR ASSOCIATION USE ONLYMEMBERSHIP NUMBER: _________________________ Date Assigned_________________________Verifying Officer: _________________________ Officer Signature: _______________________________Comments: ______________________________________________________________________________________________________________________________________________________________
ACCEPTED NOT ACCEPTED PENDING DOCUMENTS/REFERENCE
Contact Tom Vanhoose for more information: Email to: [email protected]
LONG RANGE RECONNAISSANCE ASSOCIATIONOrganized 27 June 2015
FORM DATE: MAR2019
Download, Print, and fill out informationMail Form to:
Long Range Reconnaissance Associationc/o Mr. Tom Vanhoose
9377 N 300 WLake Village IN 46349
Methods of Payment
CHECK/MONEY ORDER1. Submit Check or Money Order with this form DO NOT SEND CASH2. Make Checks/Money Order payable to Long Range Reconnaissance
Association
ELECTRONIC PAYMENT OPTIONS
Submit DIRECTLY through PayPal1. PayPal – www.paypal.com2. Send to [email protected] PayPal
Submit through LRRA Web site1. Go to www.lrra2015.org /newmember-app 2. Select 1 year or 5 year membership3. Checkout using standard online store purchasing methods