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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 Adjutant.  A Membership Card and a Certificate of Membership will then be
sent to you.  Membership dues in this association will be $20.00 per year, due on the 1st of February of each year.
Application and Check should be mailed to Doc Calef our Treasurer.

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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