NAME: ___________________________ Rank/Grade: ____________ Last 4 SSN _______ DOB __ / __ / __

Address: ________________________________ City: _______________ State: _____ ZipCode: ________

I served in the 1st Cavalry Division During: (Circle all that apply)

Pre WWII    WWII    Japan    Korea War    Korea 57/65    Ft. Benning    Vietnam    Ft. Hood

Gulf War    Bosnia    Afghanistan    Iraq    Other(s):________________________________________


Unit #1: ________________________________ Dates: _____ / ____ / _____ To: _____ / ____ / _____
          (Company, Battalion, Regiment)                       (With the Division)

Unit #2: ________________________________ Dates: _____ / ____ / _____ To: _____ / ____ / _____
          (Company, Battalion, Regiment)                        (With the Division)

A check in the amount of $10.00 is enclosed: ____ I understand that this membership fee
entitles me to full privileges and benefits of the Association, including membership card and
certificate, lapel pin, decals and a one-year subscription to The Saber Magazine.

Have you served with any other military unit during a wartime period? [ Yes ] [ No ]
                                                                       (Circle One)

eMail Address:  __________________________________________  @  _______________________________

[ ] I authorize my name and address to be published in the Association Directory and released
    to other Association Members.
[ ] I DO NOT authorize my name and address to be published in the Association Directory and
     released to other Association Members.

Date: ___ / ___ / ___ Signature: ______________________________ Phone: ( ____ ) ____ - _______