Membership Application

MEMBERSHIP APPLICATION -

CHAPTER 1 OF THE RETIRED ENLISTED ASSOCIATION, INC.

Download Membership Application

STATUS


Active Duty (Yrs.___)

Reserve/NG (Yrs.___)

Retired


Widow/Widower

Sponsored** (see below)

SERVICE


Army

Navy

Air Force

Marine Corps

Coast Guard

DUES


1 Year – $30

3 Years – $75

Life – $300 + $10.00 per Year
Chapter Dues (Can make quarterly payments $30 X 10)

TYPE


New Member
How did you become aware of us? ________________________________________________________

Renewal (New Regular Members need copy of
Military ID, Sponsored Members need copy of DD-214)

_____________________________________________________

APPLICANT’S INFORMATION

Application Date_______________

Name (First, MI, Last)___________________________________

Spouse’s First Name _______________________________________

Street Address or PO Box __________________________________

City _________________________________________

State and Zip code _________________________________________

Date of Birth (M,D,Y) _______________________________

Retired Pay Grade _________________________________________

Telephone Number _________________________________________

Email Address ______________________________________________

Applicant’s Signature _________________________________________

SPONSORED BY: **(Sponsored Members Only – Active Duty
and Reserve/NG with less than 10 years service must be Sponsored by a Regular TREA member)

TREA Chapter 1 Member’s Signature__________________________________

TREA Chapter 1 Member’s Card Number _______________________________

RECRUITED BY: (Optional)

Chapter 1 Member’s Name___________________________

Card Number__________________



Download Membership Application


then mail the completed application and eligibility form including payment to:

TREA Chapter 1

834 Emory Circle

Colorado Springs, CO 80915

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