Membership Application Form Brick Order Form

Thank you for your Support of the 10th Mountain Division Association Scholarship Fund

Your Support comes with a Membership to the 10th Mountain Division Association, please answer the follow questions so we can get your membership credentials to you asap.

If applying as Friend of the 10th please use N/A for service related questions and thank you for your Support.
Please Choose One of the Following

I am Already A MemberI do not wish to be a memberI am Not a Member Yet and Would like to be one now
Please Complete the form below for your Membership if applying as a Friend of the 10th please use N/A for service related questions.
Name*

First NameLast Name
Unit(If Applicable)*
Complete Military Service Dates*
10th Mtn Div. Service Dates*
10th Mtn Div. Unit: Co/Bty?Trp*
10th Mtn Div. Unit: Bn/Sqdrn
10th Mtn Div. Unit: Regt
10th Mtn Div. Unit: Bde/BCT
Spouse (If Applicable)
To maintain our non-profit 501(c)(19) status with the IRS, the Association is required to have on file proof of your
military service for full membership. This can be accomplished by some form of documents such as, but not limited to:
• a copy of your DD Form 214 or VA card;
• orders from the 10th Mountain Division, such as assignment orders, military award orders, promotion, etc.
Proof of Service (Please use this button to photo your record of service or military id)
OR
Upload your service and/or combat documentation by dragging and dropping your files here. (Files must be PDF, JPG OR PNG ONLY LIMITED TO 4MB ) Make sure to click the upload button.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email*
example@example.com
Please choose a chapter from the drop down
U.S. Service Military Categories (Check Appropriate Member)*

10th Mountain Division WWII (1941-1945)10th Mountain Division Cold War (1948-1958)99th Infantry Battalion (1942-1945)10th Mountain Division Light (1985-Present)Army National Guard Mountain Warfare SchoolVermont National Guard Mountain Brigade or the 86th Infantry Brigade Combat Team (Mountain) or 86th IBCT (Mountain)Other Military ServiceFriend of the 10th
Choose Your Membership

Veteran MembershipFriends of the 10th
Your New Association of the 10th Mountain Division Membership comes with 5 year membership to the Association of the United States Army please indicate below if you wish to OPT OUT of this member benefit.*

AUSA Membership OPT INAUSA Membership OPT OUT
Thank you for your Support of the 10th Mountain Division Association - Climb to Glory
Should be Empty:

Please Complete the form below for your Membership if applying as a Friend of the 10th please use N/A for service related questions.

Thank you for your Support of the 10th Mountain Division Association - Climb to Glory