Fort Bliss Spouses' Association Membership Form
2021-2022
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Name: First and Last *
Address: Please include City, State and Zip Code *
Email Address: *
Phone Number: *
Spouse's Name: *
Spouse's Rank/Position: *
Spouse’s Unit* (DOD/GS please use Ft Bliss building number where spouse works or location.  Retiree’s & Surviving Member please list your unit of choice.) *
Birthday Month:
Anniversary Month:  
Revenue earned from the Thrift Shop funds our community grants and merit-based scholarship programs.  Are you interested in volunteering at the Thrift Shop? *
Please indicate if you are interested in being a part of the following committees (Please check all that apply) *
Required
Please indicate if you would like to be signed up for any of the following Sub-Clubs (Check all that apply) *
Required
Have you already received a membership pin? *
May we include the above information in the FBSA Electronic Directory? *
Luncheon reservations or cancellations must be made by the RSVP deadline.  Members cancelling after the deadline will be charged for the meal.  ARTICLE II: Section 4 of the Fort Bliss Spouses' Association (FBSA) Constitution states: All members will fully understand that under Texas state law [Vernon's Texas Civil Statutes Art 1396-70/01 (7)(b)] they may be held personally liable should the assets of the FBSA be insufficient to discharge all liabilities.  I hereby apply for membership in the Fort Bliss Spouses' Association and by signing this application, I agree to all rules and regulations of this organization. PLEASE SIGN AND DATE BELOW. *
By selecting this box below, you are agreeing to follow the link on the next page to submit payment for your membership. *
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