JOIN THE LADIES AUXILIARY OF THE FRA TODAY!
1. Print this page. 2. Fill out the form. 3. Mail completed form with payment to:
LADIES AUXILIARY FRA
PO BOX 25525
ALEXANDRIA, VA. 22314
MAKE CHECKS AND MONEY ORDERS PAYABLE TO THE
LADIES AUXILIARY FRA
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LADIES AUXILIARY MEMBERSHIP APPLICATION
SAN MIGUEL BRANCH 367
Name in Full: ______________________________________________________________________
FIRST MIDDLE LAST
Address: __________________________________________________________________________
Date of Birth: ______________________________ Phone: (________)_____________________
Unit Preference: BRANCH 367
I am the (circle) Wife Sister Widow Daughter Granddaughter
Grandmother Stepdaughter
of ________________________________________________________________________________
Serviceman's Full Name Rate USN, USMC, USCG
Applicant's Signature: ______________________________________ Date: __________________
Proposed By: ______________________________Member No: _________________Unit: _______
Verification of Eligibility:
The above named Fleet Reservist is a member of the Fleet Reserve Branch #, or ___________
The above named Fleet Reservist was eligible to be a member of the Fleet Reserve
Branch # ______________ at the time of his death _____________________________________
Date of Death
_________________________________________________________________________________
Verified by LAFRA Title Date
DUES: $15.00 Annually ENCLOSED
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The Ladies Auxiliary of Branch 367 wants to thank you for joining our Branch. Contact us, and
let us know you've joined our family at Branch 367.
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