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LONG RANGE RECONNAISSANCE ASSOCIATION (LRRA)
NEW MEMBERSHIP APPLICATION
LAST NAME: _____________________________ FIRST NAME: ___________________________
RANK: ____________________________Facebook Name:_______________________________ Phone #: (_____)______ ____________ EMAIL: ________________________________________
MAILING ADDRESS: ______________________________________________________________
________________________________________________________________________________
CITY: _________________________________ STATE: _____________ ZIP CODE: ____________
US Army LRRP/LRP/LRS Unit: ____________________ Dates of Service in unit: _____________
Name of LRRA Member sponsoring you: _________________________________________;
OR: RECONDO SCHOOL Number: _______________.
I _________________________________ certify that I have served in a United States Army (PRINT FULL NAME)
LRRP/LRP/LRS Unit as identified above and that all information provided is true or correct.
_________________________________ __________________________________Signature Date
LONG RANGE RECONNAISSANCE ASSOCIATIONOrganized 27 June 2015
FORM DATE: MAR2019
FOR ASSOCIATION USE ONLYMEMBERSHIP NUMBER: _________________________ Date Assigned_________________________Verifying Officer: _________________________ Officer Signature: _______________________________Comments: ______________________________________________________________________________________________________________________________________________________________
ACCEPTED NOT ACCEPTED PENDING DOCUMENTS/REFERENCE
Contact Tom Vanhoose for more information: Email to: [email protected]
Payment Options
Circle your chosen method
o Check
o Money Order
LONG RANGE RECONNAISSANCE ASSOCIATION (LRRA)
LONG RANGE RECONNAISSANCE ASSOCIATIONOrganized 27 June 2015
FORM DATE: MAR2019
Download, Print, and fill out informationMail Form to:
Long Range Reconnaissance Associationc/o Mr. Tom Vanhoose
9377 N 300 WLake Village IN 46349
Methods of Payment
CHECK/MONEY ORDER1. Submit Check or Money Order with this form DO NOT SEND CASH2. Make Checks/Money Order payable to Long Range Reconnaissance
Association
ELECTRONIC PAYMENT OPTIONS
Submit DIRECTLY through PayPal1. PayPal – www.paypal.com2. Send to [email protected] PayPal
Submit through LRRA Web site1. Go to www.lrra2015.org /newmember-app 2. Select 1 year or 5 year membership3. Checkout using standard online store purchasing methods
POSTAGE SUBMISSION DIRECTIONS
MEMBERSHIP OPTIONS1 YEAR - $25 or 5 YEAR - $100
Comments or Additional Unit Information:
LONG RANGE RECONNAISSANCE ASSOCIATION (LRRA)
LONG RANGE RECONNAISSANCE ASSOCIATIONOrganized 27 June 2015
FORM DATE: MAR2019