Join MRA today! Print out this form, fill it out, and send with your check to the Secretary/Treasurer in Omaha (address at bottom of form)

Moroccan Reunion Association Membership Application

Name_______________________________________________________________________

Current Age__________ 

Name of Spouse___________________________________________________________________________________ 

Street____________________________________________________________________________________________ 

City _________________________________  State__________________  Zip______________ 

Telephone (____)________________________

Served in Morocco from 19____to 19____ 

Assigned to 5th Air Div______; 17th Air Force______;  316 Air Div _______;  4310th Air Div _______; 

Ben Guerir_______;  Boulhaut_______;  Casa Port _______; Nouasseur _______; 

Port Lyautey/Kenitra ________;  Sidi Slimane ________;  Embassy ____________; AC&W ______; 

Sidi Yahia _______;  Fighter Sq # _______;  Other _____________. 

e-mail  address:__________________________________________________________________. 

SELECT MEMBERSHIP TYPE AND PAYMENT

 

Dues (Single or Family) -- Make check payable to MRA: One Year - $10.00 _________. Due on Jan 1. Payable before July 1 of each year. 

Life Membership BASED ON AGE:   $100.00___________     $75.00__________   $50.00______________ 

Life Membership may be paid in installments. If this method is selected, please say how you wish to pay. Minimum single payment $10.00; at least $50.00 to be paid within six months. Balance to be paid within one year. NOTE: If 64 or younger the LM is $100.00, 65 to 69 it is $75.00 and older than 69 it is $50.00.

Mail to Moroccan Reunion Association, Inc., PO Box 13362, Omaha, NE 68113-0362.