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)*

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
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.*

Accept AUSA MembershipOPT OUT of AUSA Membership
Choose Your Membership*
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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
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