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Army Engineer Association

Membership Application

Name: ____________________________________________

Address: __________________________________________

City/State/Zip+4: ___________________________________

Mr./Mrs.Ms./Rank: _________________ Phone: __________

Local Chapter Affiliation: Yes No

AD ARNG USAR Retired Veteran Civilian

Junior Engineers: Must be currently serving
PVT-SFC, WI -W2, 2LT-1 LT, GS1 -GS9:
- $15.00 = 15 month membership
- $25.00 = 27 month membership
- $35.00 = 36 month membership
All Others:
- $25.00 = 1 year membership
- $45.00 = 2 year membership
- $60.00 = 3 year membership

Pay by check, money order or credit card.

Card #: _______-_______-_______-_______ Exp: _________

Name on card: ______________________________________

Signature: _________________________________________

After completion and attachment of appropriate payment, please send to:

AEA, PO Box 634, Ft Leonard Wood, MO 65473

Please make and distribute copies of the this application.

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