SPECIAL FORCES ASSOCIATION
Jan Roush, Treasurer
Special Forces Association - Chapter 39
1833 Max Road
Pearland, Texas 77581

RENEWAL APPLICATION

Membership Number    
Last Name         
Middle Initial     
First Name        
Mailing Address
City                   
State                   Zip  
Phone Number   
E-mail               
Please mail payment to address above

To maintain my membership, I will pay the annual dues of $30.00 no later than January 31 each year.
If paid after 31 January, I must pay an additional $5.00 reinstatement fee (total of $35.00).
Lifetime membership is available to members in good standing at a cost of $400.00

email:  jansuter@hal-pc.org