I, (print full name) ______________________________________ * , by signature here on, certify
that I am a Veteran of Service with the 1^st Cavalry Division, and wish to join the Fort Knox Chapter of
the 1^st Cavalry Division Association.  When accepted as a member, I agree to pay all dues and assessments
when due.  I further understand that I must also be a member of the 1^st Cavalry Division Association.

When with the 1^st Cav. Div.     __________________________________________________

Where:                                         __________________________________________________

Unit:                                              __________________________________________________

           _____________________________________________________________________

           _____________________________________________________________________

Address:                                       __________________________________________________

              ____________________________________________________________________

Phone:                                          ___________________________________________________

E-Mail Address:                         ___________________________________________________

I certify all the above is true and correct to the best of my knowledge and belief.

Signature:  __________________________________________________

Date:  __________________________

Yearly Membership Dues: $10.00

Make check payable to Fort Knox Chapter, 1^st Cavalry Division Association

Please return this application for membership with your dues to:

Archie E. Ellinger, President                 Larry A. Whelan, Treasurer
P.O. Box 105                                or        2103 Winston Ave.
Muldraugh, KY 40155                           Louisville, KY 40205

___ I DO / ___ DO NOT

AUTHORIZE RELEASE OF MY PERSONEL INFORMATION TO ASSN. MEMBERS.

MEMBER OF 1^st CAVALRY DIVISION ASSOCIATION:

YES: ___ NO:___