NATIONAL ORDER of TRENCH RATS
LIFE MEMBERSHIP APPLICATION
ELIGIBILITY REQUIREMENTS:
NOTR Constitution Article IV, Sections 1-7
NOTR Constitution Article XV, Sections 1 & 2
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FULL LIFE MEMBERSHIP FEES
Effective July 1, 2008
Under Age 60 by July 1st $250.00
Over Age 60 by July 1st $200.00
Over Age 90 by July 1st $0.00
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NAME ______________________________________________________
First Name MI Last Name
ADDRESS __________________________________________________
CITY __________________________STATE________ZIP____________
DATE of BIRTH ____/_____/_____ PHONE ( ) _________________
EMAIL ADDRESS_____________________________________________
DUGOUT # _________ CITY_______________________STATE_______
DAV LIFE MEMBERSHIP NO: ___________________________________
SPONSORS NAME____________________________________________
SPONSORS NOTR NUMBER ___________ DUGOUT # ___________
This information will be used for any membership credits.
AMOUNT OF PAYMENT RECEIVED $____________ (Minimum $20.00)
BALANCE DUE WITHIN TWO YEARS $___________ Balance Due
MAIL ALL PAYMENTS AND FORM TO:
National Order of Trench Rats
Imperial Headquarters
PO Box 1068
Kingston PA 18704-0068
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