463rd Airlifters Association Membership Application Membership is open to all members of the 463rd Troop Carrier/Tactical Airlift Wing, both past and present. Dues are $10.00 a year and are due 1st July each year thereafter. Please submit payment with your application. Name: ______________________________________________________________________ Spouses First Name: ______________________________ Street Address: ____________________________________________________________________ City: ______________________________________ State: ____________ ZIP: __________________ Phone #:______________________________________________________________________ E-MAIL______________________________________________________________________ Over what time period were you associated with the 463rd? __________________________ To which Squadron were you assigned? __________________________________________ Primary duty ( Pilot, Nav, F/E, Load, Maintenance, etc.) ______________________________ Duty Station(s)_________________________________________________________________ Do you wish to be listed on the locator page? ______ Yes, NAME ONLY. ______ Yes, Name and address. Signature _______________________________________ Date_________________________ Please submit dues with application. Membership Card and confirmation will be mailed to the address you provided. Thank you for your interest in joining the 463rd Airlifters Association. Mail to: Rick Kirkpatrick 1676 W. 300 S. Peru, IN 46970