Chapter 76 - Special Forces Association Renewal/Reinstatement Form (Updated September 25, 2017)
*** It is Important that you remit dues DIRECTLY TO OUR LOCAL CHAPTER ***
Without your dues, the effectiveness of our Chapter is impaired. Paid Dues cover the period from 1 January to 31 December of each year. Members who do not pay dues by 31 January become delinquent and are placed on inactive status and will not receive future issues of The Drop or other official correspondence from SFA National. Remember the strength of the Association rests with its members. Dues paid after 30 September will be applied to the next year’s dues (and become effective immediately).
(PLEASE PRINT ALL INFO BELOW)
I, (Last) ___________ (First) ____________ (MI) ___ Mbr# __________ apply for renewal of my Membership in Chapter 76 of the Special Forces Association and submit the following information:
**** Life Members pay no annual dues ****
***All Dues Payable by Check or Money Order ***
___Annual Dues Renewal. $40.00 for a one-year renewal of my membership. Note: Annual renewal is $40.00 if paid before 31 January of each year.
___Reinstatement (if you missed the Jan 31 deadline). $45.00, which includes a $5.00 reinstatement fee along with the $40.00 annual renewal fee. Note: annual renewals are $45.00 after 30 January of each year.
___Life Membership. $440.00 for a lifetime membership. The $440.00 fee applies to members in good standing only.
___Reinstatement & Life Membership. $475.00 for reinstatement and lifetime membership of which $440.00 is the life membership fee, $30.00 is for annual dues and $5.00 is for reinstatement.
___Life Membership (65 and over). Date of Birth ___________. $320.00 for a lifetime membership. The $320.00 fee applies to members in good standing only.
___Reinstatement & Life Membership (65 and over). Date of Birth __________. $345.00 for reinstatement and a lifetime membership of which $320.00 is the life membership fee, $20.00 is for annual dues and $5.00 is for reinstatement.
Check/MO payable to: SFA Chapter 76.
Mail to: Ed Pijuan, P.O. Box 297834, Pembroke Pines, FL 33029
Please Print: Your current mailing address including City, State & Zip Code:
Home Phone: (______) _______-_____________ Work Phone :(______) _______-_____________
Email Address: ___________________________ Date of Birth: ________________
Retired Rank/Rank at Separation: _____________________