10Th Mountain Division Descendants, Inc

10th Mountain Division Descendants, Inc. Application Form 2009 for Descendants and Associates For all those who love, respect and cherish the soldiers of the 10th Mountain Division, we will work together, as one, to honor the legacy of the 10th Mountain Division For more information, visit : www.10thmtndivdesc.org

Please fill out this application and mail it along with your check to Don Perkins, Treasurer, P.O. Box 20011, New York, NY 10017-0001 ------1. Please provide information of your 10th Mtn soldier: Name: ______His Unit: ______

Please indicate the following: Killed in Action (Date)______Living ____ Deceased (Date)______

Your relationship to the 10th Mountain soldier ______(Please be specific – son, daughter, brother, friend, etc)

2. Please provide information on yourself – place info for additional members on the back. Your name: ______Your address ______Your Phone: ______Your e-mail:______

3. Please join at one of the Membership levels: (Per IRS Regulation) ($50.00 max. per family with children living in same household, please include names of all family members)  Descendant Level: (son, daughter, grandchild, great grandchild)

Dues @ $23.00/person = ______ Associate Subscription: (niece, nephew, husband/wife of Desc, friend, etc.)

Dues @ $18.00/person = ______

Total ______

Make checks payable to: 10th Mtn. Division Descendants, Inc. Send to: Don Perkins, Treasurer, P.O. Box 20011, New York, NY 10017-0001