THE 5TH BATTALION ASSOCIATION

5^{th / 60th Infantry Association Membership Form}
^{Type of Membership: _____Battalion _____Associate
Name: __________________________________________________________________
E-Mail Address: __________________________________________________________
^{______ Display Email Address

______ Do Not Display Email Address}
What Company and Platoon Were You In:_______________________________________________
What Base Camp Did You Call Home:________________________________________
Dates in 5th/60th
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Rank in 5th/60th
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Your Current Address:_____________________________________________________
City:___________________________________________________________________
State:___________________________________________________________________
Zip Code:_______________________________________________________________
______ Display Home Address

______ Do Not Display Home Address
Telephone Number:_______________________________________________________
______ Display Telephone Number
______ Do Not Display Telephone Number
Notes That You Would Like Displayed:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
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Note - For our records ALL the above lines should be filled out as fully
as possible.}