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THE CIVIL AFFAIRS ASSOCIATION - MEMBERSHIP APPLICATION
Date ____________________
Rank or Title ________________________
Name: Last _______________________First
__________________________M.I. _____
Home Address
___________________________________________________________
City, State, ZIP, Country
___________________________________________________
Present Unit of Assignment, if any
___________________________________________
e-mail address
________________________________
Telephone - Home
_____________________________
Telephone -
Office_____________________________
- New Application_____
Renewal______Address Change_____
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- ANNUAL DUES
O1 through O3 ($10)_______
O4 through O5, Warrant Officers ($15)________
O6 and up, Civilians, International ($25)_______
E1 through E4 No Charge
E5 through E7 ($5)_________
E8 and E9 ($10)___________
LIFE MEMBERSHIP:
Officer/Warrant Officer/Civilian ($175)
__________ 1st Installment $75, 2nd $50, 3rd $50
Enlisted ($100) __________ 1st Installment $50, 2nd $25, 3rd $25
Note: May be paid in annual
installments
TAX DEDUCTIBLE CONTRIBUTION __________
TOTAL ENCLOSED __________
Please make payment check payable to The
Civil Affairs Association or CAA.
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Mail along with your check to:
The Civil Affairs Association
10130 Hyla Brook Road
Columbia, MD 21044-1705
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