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Membership Application

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NOTE: Medics and Corpsmen who served must have received a diploma from any Medical Service School
 of the Armed Forces or College.  Proof of award must be submitted when you submit this application ( DD214) or
other form showing completion of service school.  Nurses who desire to become members must submit proof
of service as above.  If you desire proof returned, please enclose a self addressed stamped envelope.  All proof
will be returned to you from National Treasurer.  A Membership Card and a Certificate of Membership will then be
sent to you.  Membership dues in this association will be $22.00 per year, due on the 1st of February of each year.
Application and Check should be mailed to Doc Calef our Treasurer.  NAMC is a 503 (c) (3) tax exempt organization
 under the specific Public Charity Status 170 (b) (1) (A) (vi)

Richard G. Calef
P.O. Box 594
Colville, WA.  99114-0594

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Word Format        Adobe Format   

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Application for NAMC Membership

            Name: ________________________________________________________________

            Street Address _______________________________________________________

            City/State/Zip _____________________/ ________________/ ______________

            Telephone: __________________________________________________________

            E-mail:______________________________________________________________

            Branch of Service: __________________________________________________

            Dates of Service: _______________________to__________________________


            Combat Unit Service:                       Yes ___           No ___


            Wartime Service with Combat Unit:           Yes_____          No_____


            Where: _____________________________________________________________


            Recruiter:__________________________________________________________

            Signature: _______________________________/ Date____________________

Instructions:  Print , fill in with pen, send check with

dues and send photocopy of DD214 to address above.

Current Annual Dues  $20.00  

Life Membership Dues $200.00  (over 55 $150.00)

   100%    Service Connected  Disability   Dues are Waved 

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