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     Fill in your information below and mail to the Membership Chairman.  As a member, you will receive the tri-annual 69th Infantry Bulletin with many pages chock full of WWII and reunion stories and photos.  Complete as much information as possible.  Thank You.   

                                Fighting 69th Inf. Div. Association, Inc.
                                Paul Shadle Membership Chairman
                                        P.O.  Box 4069
                                New Kensington, PA. 15068-4069
 Your Full Name                                                                                                      

Street Number and Name                                                                                       

City                                    State                                        Zip Code                       

Telephone                          E-mail:                                                                          

Spouse's  First Name                                                                                                

69th DIVISION OR ATTACHED UNIT ASSIGNMENT:

                       [  ]  Self                      [  ]  Son                   [  ] Daughter

Infantry Regiment      Artillery Battalion      Company      Battery        Other

                                                                                                                                   

Attached Unit               Battalion                      Company                                         

                                                                                             

Support the Association Bulletin, please send:

Yearly from August to August...........................................................$10.00               

Ladies Auxiliary..................................................................................$5.00                

Donation...............................................................................................$                      

Total amount paid.................................................................................$