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Return to: National Guard Association of South Carolina, 132 Pickens Street, Columbia, South Carolina 29205. (803) 254-8456 or 1-800-822-3235 Fax: (803) 254-3869 -
E-mail: jhartley@ngasc.org (Check which type of membership) Revises 21 July 2010 PRN #___________ |
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ACTIVE MEMBERSHIP |
LIFE MEMBERSHIP |
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Preferred Method of Payment is by check. Credit / Debit cards are accepted but please note
A 4% CHARGE WILL BE ADDED TO COVER CREDIT/DEBIT CARD PROCESSING
Application for Membership in the National Guard Association of South Carolina
| Amount Enclosed: $ ______ Date of Birth: _____________
SSN:__________________________________
Rank:_______________________ |
| Name: __________________________________________________________ |
| (Last) (First) (Middle) |
| Mailing Address: _________________________________________________________________ |
| (Street/P.O) (City) (State) (Zipcode) |
| Email Address: ____________________________________________________ |
| National Guard Unit:
_____________________________________________ Duty Status: M-Day___Tech__AGR_____ |
| Method of Payment ____ Cash ____ Check____ Credit Card Spouse's Name |
| Card
Number:______________________________________ Exp.Date:_____________ Security
Code_________ A 4% charge will be added to Credit Cards / Debit Cards for processing) |
| I hereby apply for membership in the National Guard Association of South Carolina, and the National Guard Association of the U.S. (NGAUS - Officer) or the Enlisted Association of the National Guard of the U.S. (EANGUS - Enlisted). |
| Date____________ Signature________________________________________________ |