HSC Membership Application 2023-2024
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Email *
Date *
MM
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DD
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YYYY
Name (Last, First) *
Membership Status *
Sponsor's Name (List your name if you are the sponsor.) *
Sponsor's Unit or Organizational Affiliation *
Installation Affiliation *
My Sponsor (or you if you are the sponsor) is: *
Military Branch Affiliation *
Street Address *
City *
State Abbreviation *
Zip Code *
Email Address
(Note:  Event Invitations, RSVP’s, newsletters, and notices are delivered via email) *A list of member contact information may be shared with board members, on an as need basis, for club business only *
Phone Number with Area Code *
Dues Category - Dues are based on sponsor’s military, retired, or civilian equivalent rank as follows: *
1. Club Socials and Special Activities may incur cost in addition to dues.
2. I understand that it is my responsibility to pay for all “yes” RSVP’s that I make for HSC Events (when payment is required), including that of a guest. If I do not cancel the reservation by the deadline and I (or my guest) do not attend the event, I will be considered a “no-show” and billed accordingly.
3. Dues paid cover club year June 2023 - May 2024.
 *
I am interested in more information about the following:
I would like more information about:
My electronic signature (Please type your full name below to acknowledge your electronic signing of and completion of application) below indicates my intent to join the Hurlburt Spouses' Club. I have read the above information and responded based on my current affiliation with the military. *
A copy of your responses will be emailed to the address you provided.
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