Membership Form 35th Infantry Regiment Assn

35th Infantry Regiment (Cacti) Association

Having served with the 35th Infantry Regiment, I hereby apply for membership or renewal and enclose my dues.

NEW ____ RENEWAL_____

Unit: Company: ___ Battalion_____: From: dd/mm/yy __________To: dd/mm/yy _____________

Name: _______________________________ Nickname:______________ Spouse: _____________

Address: _________________________________________________________________________

City: ___________________________________________ State: ___________ Zip: ____________

Phone: (______)_______-______________ AGE: _______ Birthdate: ________________________

Email Address: ____________________________________________________________________

MAY we provide your contact information to other members of this Association? YES___ NO___

MAY we list your unit, name and dates of service on our website roster? YES___ NO___

MAY we list your email address on our website roster? YES____ NO ____

NOTE: Your address and phone number will NOT be listed on the website roster.

SEE BELOW FOR DUES INFORMATION:

Annual "Electronic Times" Membership Dues ($15.00 per year)	________________________________
Annual "Mailed Times" Membership Dues ($25.00 per year)	________________________________
Active Duty Dues ($20.00 per year)*	________________________________
Life Membership "Electronic Times" **	________________________________
Life Membership "Mailed Times" **	________________________________
Donation for Cacti Times Publication Costs	________________________________
Donation for Health & Welfare	________________________________
Donation for Scholarship Fund	________________________________
Memorial Donation	________________________________
Indicate in Memory of Whom if applicable	________________________________
TOTAL ENCLOSED	________________________________
*Applies to Cacti who are presently serving with the 35^th Inf Regt. or who have previously served with the 35^th Inf. Regt. and are still on Military Active Duty.
Make checks payable to: 35th Infantry Regiment Association.

Mail to:
Bill Henson
Secretary
35th Infantry Regiment Association
3680 Chrisfield Drive
Rocky River, OH 44116

Print out this application and send it via the postal service.

Please send checks or money orders only. No cash please.
Questions: contact Bill Henson

Email: whhenson@cox.net

Phone: (440) 333-6740

The 35^th Infantry Regiment Assn reserves the right to request documents/records that verify an applicants qualifying service time with the 35^th Infantry Regiment and its Battalions. Failure to provide the requested documentation can result in denial of membership in the Association.

DUES: Effective 30 July 2006, by membership vote at the annual business meeting, the following dues structure was adopted: PLEASE NOTE: Both Annual Memberships and Life Memberships are separated into two categories. One for those members receiving the Cacti Times electronically over the internet and those receiving the Cacti Times by hard copy through the mails. In both all cases, a member may elect to change from the electronic version to the mailed hard copy version by paying the prorated difference. Conversely, a member may elect to change from the mailed hard copy to the electronic copy, in which case the member will be rebated the prorated difference. In both cases, notice must be either mailed or emailed to the then current Secretary. It is the responsibility of the Member to keep current his mail/email address. Send changes to the Secretary.

The membership year runs from January 1 to December 31. Annual Membership Dues shall be due and payable by 30 January of each year of membership. Dues received prior to or at the annual membership reunion shall be credited to that years dues. Dues received after the annual membership reunion will be credited to the following years Dues. If dues are not paid by April 1st, the member may be dropped from the rolls. An individual may elect to pay Life Membership Dues in four (4) equal installments. Payments are all due within the year of application.

**The Life Membership Dues Schedule is a follows:

Electronic "Times" Life Membership		Mailed "Times" Life Membership
Age	Dues	Age	Dues
20-24	$540.00	20-24	$1,080.00
25-29	$500.00	25-29	$1,000.00
30-34	$450.00	30-34	$900.00
35-39	$400.00	35-39	$800.00
40-44	$360.00	40-44	$720.00
45-49	$310.00	45-49	$620.00
50-54	$270.00	50-54	$540.00
55-59	$230.00	55-59	$460.00
60-64	$190.00	60-64	$380.00
65-69	$150.00	65-69	$300.00
70-74	$120.00	70-74	$240.00
75+	$100.00	75+	$200.00

CactiFormMbrshp 8/1/2006