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WEST POINT SOCIETY OF TEXOMA MEMBERSHIP FORM Name_________________________________________________________________________________ First MI Last _____ Yes, I wish to join the Society. (Please complete this form and mail it back to us with your check.) Rank/Title ______________ USMA Class ________________ Address ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ E-mail ______________________________________________________________________________ Home Phone _____________________________ Work Phone _____________________________ Member of Association of Graduates? Yes _________ No ___________ Spouse’s Name __________________________________________________ Areas of Interest: _____ Admissions _____ Programs & Special Activities _____ Information & Community Affairs _____ Membership _____ Other __________________________________________________________________________ Dues Enclosed: _____ $25 Annual Dues _____ $250 Lifetime Membership _____ $5 Annual Dues for Active Duty with less than 10 years service. __________________________________________ ______________________ Signature Date Please mail this form and your check (if you join) made out to:
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