15th COMBAT ENGINEER BATTALION ASSOCIATION

MEMBERSHIP APPLICATION

Name:_____________________________________________________Nickname:_________

Address:______________________________City:_______________State___________Zip____

Phone(Home)__________________________Phone(Office)_____________________________

Email(Home) __________________________Email (Office)_____________________________

Date of Birth___________________________Place of Birth_____________________________

Service # _____________________________SSAN# __________________________________

Training: Basic _________________________AIT ____________________________________

OCS_________________________________ Academy ________________________________

Tour of Duty: From ________________________to ____________________________________

Primary MOS _________________________ Description of duties & jobs_________________

_____________________________________________________________________________

_____________________________________________________________________________

R & R Location______________________________________________________________________

Highest Rank __________________________________________________________________

Served in Company____, ____Platoon

Awards & Medals _______________________________________________________________
_____________________________________________________________________________

Marital Status________________Spouse's Name______________________________________
Date of Marriage ______________Where____________________________________________
Children ______________________________________________________________________

Current Occupation______________________________________________________________

Retirement Status ______________________________________________________________

Health Status_____________________________________________________________________________________________________________________________________________________


SELECT MEMBERSHIP DESIRED

Life Membership $250.00 no future dues
Charter Membership $ 50.00 maximum future dues $12.50/year*
Annual Membership $ $12.50/YR ~ 3 YR for $30.00*

Sr. Engineers (over 75 years old) no annual dues. Application is required

*Dues may be raised or lowered depending on number of total members and budgetary needs.

Are you interested in a 15th CEBA white golf shirt with the Unit Crest embroidered on it? $30.00
Sizes S M L XL XXL XXXL

Are you looking for some buddies? Give name and where you think they came from. If you have YOUR orders with other veterans names on it please send a copy to expedite our search. _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Are you a member of other veterans groups? Y N

Would you be willing to try to locate others that served with the 15th Combat Engineer Battalion? Can you provide assistance with printing/postage?

For additional information see our web site at www.15thcombatengineers.org

By signing and submitting this application you agree to the terms of the mission statement and to abide by the rules of the Association.

All email addresses will remain confidential and used soley for the purposes of the board of directors contacting the membership from time to time. Under NO circumstance will the board of directors distribute lists without your individual written permission. Please review the roster information as posted on the web site, from time to time. This is the only information that is open to the public without your written authorization. Your written modification and or request to be removed should be sent to the Association mailing address via registered mail.

At official meetings, as declared on a basis of a minimum of every 2 years, the Association will vote and approve all financial statements. At that time the financial records of the Association will be available for all members. If you wish to receive a copy of the Associations financial and other records, please make your written request, via certified mail, at the appropriate time. The next scheduled official reunion and meeting is in 2001 at Fort Campbell Kentucky. It will be in conjuction with the MRFA meeting.

All requests for information should be sent via registered mail to the association mailing address.

I understand that by joining this Association, I am not thereby automatically joining the Mobile Riverine Force Association. The leadership of this Association strongly encourages you to join BOTH associations, as our reunions coincide with those of the MRFA, and in order to attend the MRFA functions, you MUST belong to that organization.

Signed:_________________________________________________

MAIL YOUR COMPLETED APPLICATION AND CHECK TO:

15th COMBAT ENGINEER BATTALION ASSOCIATION
15319 Woodland Orchard Lane
Cypress, Texas 77429

TO PRINT THIS APPLICATION RIGHT CLICK WITH YOUR MOUSE, AND SELECT PRINT