Association Membership Registration / Annual Dues $25.00:

        Names: ( You / Spouse / Children / Nicknames / Etc. ): _____________________________

        Dues Paid:  $  _____________                            For Year: __________________

        Mailing Address: ___________________________________________________________________

        Telephone: _________________ Fax Number / Email / URL : ____________________________

        VITAL STATISTICS:

        Date(s) Joined VR-21 and/or VRC-50: _______________

        Date(s) Left the Squadron: _____________

        Stationed at: _________________________________Highest Rate or Rank: _______________

        Primary Job(s) (i.e. Pilot; Maint; Admin; Aircrew; Type Acft):

        ____________________________________________________________________________________

        What can you contribute to this newsletter?  Photos? Rememberances? Etc.: 

        ____________________________________________________________________________________

        Mail completed form to:                VRC-50 Association, Inc.
                                               Registration / Locator Department
                                               P.O. Box 248
                                               Hector, Illinios  62248-0248     

        Telephone (President) : 1 - 919 - 510 - 4293
        Telephone (Locator) :   1 - 618 - 473 - 3088