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(Please use your browser print function to print out this page) B- 47 Stratojet Association Mark Natola 23 Oak Ridge Rd. West Lebanon, NH 03784 Tel. (603) 643 3399 e-mail: mark.natola@hitchcock.org Application __________________________________________________________________________________ (Last) (First) (Middle Initial) (Rank) (Spouse) Address: _______________________________________________________________________________________ City: __________________________________ State: _____________ Zip Code: ______________________________ Telephone: _(_____)_______________ Fax: _(_____)____________ e-mail: ___________________________________ B-47 Wings you served with and dates of service : _______________________________________________________ ______________________________________________________ ______________________________________________________ Crew or ground position : ____________________________ Civilian position: _________________________________ Status : Active Duty____________ ; Retired, when _________; Separated, when __________Veteran ______________ Cililian, your relationship to the B-47: __________________________________________________________________ Current Occupation : _______________________________________________________________________________ Any other comments you may care to add: _______________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Annual dues are $15 per year and are payable to The B-47 Stratojet Association. Lifetime membership option is obtained by using the below table under age 59
$300 Amount enclosed $ _______ Send application and check to: B- 47 Stratojet Association Mark Natola 23 Oak Ridge Rd. West Lebanon, NH 03784 Web Site: http://b-47.com |