
Membership Application
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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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)
Copyright © 2002-2006 by [National Association of Medics & Corpsmen]. All rights reserved.
Bill Hawkins, Webmaster
Revised:
05/22/09 22:02:44 -0700.