Firebird Association

Membership Application

Click on the Browser Printer Icon to Print this form!

Personal Information: (Please Print)

Name: _____________________________________________

[ ] Initial Membership

Address: ____________________________________________

[ ] Renewal

City: ______________________________ State: _____ Zip: ___________ + 4 _________

Telephone: ___________________________ Fax: _______________________________

E-Mail Address: __________________________________________________________

 

Unit:

[ ] 61st TCS

[ ] 17th TCS

[ ] 17th TAS

[ ] Other ____________________________

 

[ ] 517th AS

[ ] VXE-6

[ ] 109th AW

 

 

 

 Sponsor: _________________________________________________ *      ( If required)

*Upon nomination for membership by any active Firebird and acceptance by a majority vote of the Board of Directors, any other person, not otherwise qualified, who has an interest in this association and supports the purposes for which it is organized as outlined in Article I Section 2 of these By-Laws. (See below.)

To provide social and recreational activities for, and to maintain fraternal contacts between, its members.

To commemorate the aviation history of the 17th Troop Carrier Squadron and the 17th Tactical Airlift Squadron of the United States Air Force, its predecessor and mission-successor organizations including but not limited to the 61st Troop Carrier Squadron, the 109th Tactical Airlift Group/Wing, or the 517th Airlift Squadron, and of all military units who have flown ski-equipped versions of the C-130 aircraft within any of the Armed Forces of the United States of America.

To Foster Pride of Patriotism and Defense of the Constitution of the United States of America.

To encourage and support aerospace activities to insure that the United States of America maintains its freedom and leadership status among nations.

 

Please make checks payable to the Firebird Association in the amount of $20.00 (biennial membership). Mail completed form and check to:

Robert L. Mattingly
Firebird Association
1255 Circlewood Drive
Melbourne, FL  32935-5536

Phone:  (321) 254-7422   ----  E-mail:  bobc130d6@yahoo.com