Membership Application Form

Membership Application Form

If applying as Friend of the 10th please use N/A for service related questions and thank you for your Support.
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)
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.
Choose Your Membership
prevnext( X )
Veteran Membership (Annual)$20.00

Veteran Membership (Life)$150.00

Friends of the 10th (Annual)$20.00

Friends of the 10th (Life)$150.00

Total $0.00
Should be Empty:

Membership Application Form

Choose Your Membership*

Choose Your Membership