After completing and submitting this form, you will be mailed a confirmation/bill.
Your membership will become active after payment is received

Name
Address
City
State/Zip/Country
Telephone
E-mail Address
Social Security #
Membership Category	Please Select One Individual ($20) Active Duty: RA/NG/USAR ($10) Family ($25) Organization, veteran/nonprofit ($150) Corporate Membership (Advocate - $500) Corporate Membership (Sponsor - $1000) Corporate Membership (Benefactor - $1500)
Please provide names of adults for Family Membership or name and brief description of corporation for Corporate Membership
I would like to be involved in the Fort Ord Alumni Association by (check all that apply):	Participating in social activities Recruiting students Developing scholarships Attending workshops Producing newsletter and publications Serving on a committee
Special Committee Interest (please check all interests)	Scholarship Memorialization Membership Special Events Other
What types of activities are you interested in?
Years stationed at Fort Ord
Unit(s) of Assignment
Any other Fort Ord alumni or organizations you would like us to send a brochure to (include names and addresses):
Would you like to contribute to the Targeted Scholarship Funds?	Yes Amount: In memory of:
Will you use the World Wide Web FOAA home page	Yes No
I give my permission to have my name, address, and telephone number published in a FOAA directory	Yes