AREA -Online Form


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	ONLINE MEMBERSHIP APPLICATION

I'm applying as:
Dues are $5/yr and are collected Dec/Jan. New members can have dues prorated if joining at other times. Mail dues to this address:	Gulf Coast Chapter Betty Kenyon, President 3805 Indigio Circle Destin, FL 32541-2042
My Name:
Spouse's Name:
Address:
Phone number:	( ) -
Fax number:	( ) -
E-mail Address:
Include telephone numbers in Chapter Directories and update listings ?	Yes No
Include email address in Chapter Directories and update listings ?	Yes No
Last AAFES Assignment From: ( Dates: MM/DD/YY )	From
Last AAFES Assignment To: ( Dates: MM/DD/YY )	To
Where was your last assignment?
Are you interested in doing some volunteer work for the chapter?	Yes No
Are you an AREA member?	Yes No (If you would like additional information on AREA membership, click on ‘Why Join AREA?’ on our Home Page.