New Member Application

If you are a new member, and desire to join using a credit card, please complete the form below and click the Send This Secure Form button at the bottom.

You may also print this form if you desire to mail payment. Enclose the printed form, any payment, and mail to:

The DUSTOFF Association
P.O. Box 8091 Wainwright Station
San Antonio, Texas 78208

I wish to join as an enlisted Life-Time Member.	$50.00 (One-time fee)
I wish to join as an officer/civilian Life-Time Member.	$100.00 (One-time fee)
Items in YELLOW are required entries.
Rank
First Name	M.I.
Last Name
Street
Apartment
City
State
ZIP Code
Home Phone
Work Phone
E-mail Address
Spouse's Name
Name on Credit Card
Credit Card Type	Visa MasterCard Discover
Credit Card Number
Expiration Date
Load New Code Powered by Web Wiz CAPTCHA version 2.01 Copyright ©2005-2006 Web Wiz Guide Please enter the security code shown to the left in the box below it. Note: The security code is case sensitive using upper case letters and lower case letters.