Name: ______________________________________________________________________________________

                             Last                                         First                                                              MI
Spouses Name: _______________________________________________________________________________

                                                 Last                                            First                                         MI
          Permanent Mailing Address:

Street:____________________________City:______________________State_____ZipCode:_______________

Home Telephone: ____)_________________Other Telephone: (____)___________
E-Mail Address (s):__________________________________      

10^th FA Service From:____________To:__________Rank____________Post/Era:______________:
WWII [   ]   Korea [   ]   Cold war [   ]    Gulf [   ]   OIF [   ] Other:_________________________________­____

MOS: 13B-Gunner [   ] 13E- FDC [   ] 13F- FO [   ] Survey [   ] Other:_________________________________ 

Are you a member of the following Veterans Organizations? X those applicable.
** Society of the 3^rd Infantry Division (3ID) [   ]   Outpost#____,     American Legion [   ]    VFW [   ]
AMVETS [   ]   DAV [   ]    Field Artillery Assn. [   ]

.Other_______________________________________________________________________________
    ** Membership in the Society of the 3ID is highly encouraged, but NOT REQUIRED for membership in the 10FA Association.

          Eligibility:

·   Regular Membership is limited to any active duty soldier or veteran who has served honorably in the 10^th Field Artillery Battalion/Regiment since its original inception into the Regular Army on 1 July. 1916.

·   Associate Membership is open to other armed forces veterans, spouses, parents, children or siblings of any person eligible for regular membership and others with a personal interest in, or affinity for, the 10FA and the Society of the 3ID.

Annual  Dues: 

�   Regular and Associate Membership: $12.00 per year payable on or before 1 July of each year.  

�   Premier Membership: $27.00 for those applicants who are NOT 3ID Society members but wish to join both organizations: The $15.00 portion of that amount will be forwarded for your membership in the Society of the 3ID. Please indicate your membership preference by placing an “X” in the appropriate box. Please see the reverse side for check and mailing instructions. 

Privacy Policy: The Society of the 3ID and the 10FA Association each maintain membership databases. Information in these databases is strictly for internal use only. We collect only general contact information and date of birth (for voting eligibility purposes). We do not release this information to any third parties without the express permission of the member. We do not require, nor do we seek highly personal information such as social security or credit card numbers.

Annual Dues Renewal Date is 1 July of Every Year.  Mail this application for membership along with a check payable to: 

10^th Field Artillery Regiment Association
c/o Christopher Vegas
 1111 Abe Lincoln Way
 Jefferson, GA 30549 

Membership referred or recommended by:

_____________________________________________________________________________________________ 

Rock Support and Rock of the Marne!

FOR OFFICE USE ONLY 

Regular [      ] Associate [      ] Society Member [       ] Amount Received _____Check #___________ 

Society Dues Paid [    ] Amount $___________10^th FA Check #___________

Date Mailed to Society____________    (If Required) 

Welcome packet sent_________________

Click Here  for printable Pdf Membership Form