Application Form

3/17 ACR ASS0CIATION

http://www.3rdSq17thACR.org

If you were a member of the 3rd Squadron, 17th Air Cavalry Regiment and served in Vietnam or are currently or former member of the 3/17^th ACR we would like to invite you to join us at the 3/17ACR. The 3/17 Assn. is a non-profit, fraternal organization of former members and their families, and any interested party. The principle objective of the 3/17 ACR Assn. is to promote and improve the esprit de corps, traditions, and the history of the 3rd Squadron, 17th Air Cavalry Regiment.

Members have expressed a definite desire to belong to a group where meeting new friends, finding old friends, and remembering lost friends, can occur without distraction.

A donation of $10.00 per year is asked to help defray costs.

NAME:______________________________________

ADDRESS:______________________________________________________________

CITY:____________________________STATE:_________ZIP:___________________

HOME PHONE:_________________WORK PHONE:___________________________

WIFE/SO NAME: ________________________________________________________

TROOP (S)________________________

YEAR (S)__________________________

CALL SIGN (S)_________________________

E-MAIL: _____________________________________

MISC INFO: _________________________________________________

_____________________________________________________________

COMMENTS: _________________________________________________

_____________________________________________________________

Make checks payable and mail to:

3/17th ACR Association

9347 San Bernadino Ave

Englewood, FL 34224-9632