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Forms

ARIZONA BUFFALO SOLDIERS ASSOCIATION

You may obtain forms by requesting them by e-mail. This is what the Application form look like. You may try saving it as an Word file, then try printing it. It may work.

ARIZONA BUFFALO SOLDIERS ASSOCIATION

1201 E. MICHIGAN ST. TUCSON, ARIZONA 85714

PHONE/FAX: 520-xxx-xxx

    Membership Application, Renewal and Contribution Form

Renewal: _____ New Member: _____ Contribution: _____ Group or Organization: _____

Date: __________ if renewing, please give current membership number if known __________

Name of Group or Organization: _________________________________________________

First Name: ________________________________________________ Contact Person _____

Last:          ________________________________________________

Address:     ________________________________________________________________________

City:   ________________________________ State: __________Zip Code:__________

Phone Number ___________________ Gender   (M) or (F) _____

E-mail Address ________________________________________________ 

Are you 18 years old or older? ____ Must be at least 18 to become a Full Member.

Are you 55 or older? ____ Full Members only          are you retired? ____ Full Members only

Please make checks payable to ARIZONA BSA

Annual Membership                                                                          Your Individual Contribution

Type of Membership                                                                                   Level of Contributions

____Full Member.…$25.00                                                                          E1………..……. $100.00 ____

____Associate... ….. $25.00                                                                          E2……................ $250.00 ____

____Renewal ……... $25.00                                                                          E4……………... $400.00 ____

____Initiation Fee… $25.00   New Full Member only                               E5……………... $750.00 ____

____New Member… $25.00 If joining January – April                             O1…………... $1500.00 ____

____Contribution       Amount: __________                                                O2... ………… $2500.00____

  All contributions ARE NOT  tax deductible                                                      O3....................$5000.00 ____

                                                                                                                    O4………….$10,000.00 ____

  All Dues are due 15 JANUARY of each year.                                                     O5 ………..$15,000.00 ____                   

 All New Members are required to read the Bylaws. I have read the bylaws ____. My answers are true and complete. I understand that if I am accepted, any false or incomplete statements in this application will be grounds for immediate termination of membership.   Your are paying by, Check ____ Cash ____ Money Order ____ Other ____________

Date: _________ Amount enclosed _________ Applicant's Signature: _________________________

              

Arizona Buffalo Soldiers Association

1201 East Michigan Street - TucsonArizona 85714

 Phone/Fax: (520) xxx-xxx   Email: azbsa@juno.com

www.buffalosoldiersw.com

 

http://tucson.buffalosoldiersw.com/index.html