Membership Renewal / Application Form

   Donor or Order Form

 

Name:   _________________________________________ Rank/Title:_______

                   (First)                       (MI)                   (Last)

 

Address:_______________________________City/State/ZIP:_________________________

 

 

E-Mail (Optional):______________________________ Telephone: ____________________

 
 

Organizations of Service with 35th Inf Div (i.e. 69th Bde, 137th In, 161 FA): ____________

 
 

 

                                                                                                                            Amount Enclosed

 

Annual Renewal Dues or New Member Annual Dues - $25.00                       _______         

            Life Member Dues for WW II Veterans - $75.00                                             _______         

Life Member Dues for All Others - $140.00                                                      _______

 

Donation for 35th Div Assn Operating Expenses                                              _______

($10, $50, $100, $500, $1000, $5000 or Any Amount)

 

Edition of “The Santa Fe Express Divisionnaire” - $1500.00                          ______

Hall of Fame Expenses & Reception - $100 & up                                             ______

35th Div Conference Sponsor - $100 or more                                                    ______

  Donation in recognition of_________________________
 

I want to purchase:   (will be mailed to you)

CD – “A Living History of the 35th In Div in WW II”

           By Murray Leff - $12.00                                                                           ______

35th Division Coin - $12.00 ($10.00 no mailing needed)                                    ______

35th Division Hat - $15.00                                                                                     ______

35th Division Lapel Pin – $3.00                                                                            ______

35th Div Belt Buckle (“Santa Fe Leads the Way”)                  

    (for standard belts up to 1.5 inches wide)    $20.00                                        ______

35th Div Belt Buckle (35th Div Patch, for military style

  Belts, 1 1/8 inch wide)  -$20.00                                                                           ______                                                                                                                                                                                                                                                                                               

 

                                                            Total Amount Enclosed                           _______

 

 
                                                                           Make Checks Payable to: 35th Div Assn 
 
                                                                                             Mail to: 35th Division Association
                                                                                                            P O Box 5004, Topeka, KS 66605
 
  
Click here to download the Membership & Donor Form
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