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00 Make Check or Money Order out to USAF Military Training Instructor Association or USAF MTIA Amount Enclosed ---------------------------------- - Please DO NOT send cash Your Personal Certification I certify that upon separation or at the time of my retirement I received an Honorable Discharge. MEMBERSHIP APPLICATION USAF Military Training Instructor Association P. O. Box 276477 San Antonio TX 78227-6477 Name Address City -------------------------------------------------------State --------------------ZIP Phone -- ------------- -------------------------------------------------------------------------------------------------------Rank ------------------------------------------------- highest rank achieved E-Mail Address optional When were you an MTI i.e. 1980 - 1985 Your Organization i.e. 3704 BMTS Which base did you serve at as an MTI Did you receive any awards while you were an MTI i.e. Blue Rope Do you consent to permit your contact information to be made available to other MTIA Members Yes------------ No What will your membership status be ---- Regular----- RENEWAL MTIA Coin ---- DUES TSgt and below ----------MSgt and above One Year 20. 00----------One Year 25. 00 Two Years 35. 00----------Two Years 45. 00 Three Years 45. 00----------Three Years 60. I further certify that to the best of my knowledge I was never permanently removed from the MTI program due to misconduct. Your Signature --------------------------------------------------------------------Date Recruitment How did you hear about the MTIA - Friend or Co-worker---- Ad------Internet ----- Other If you were recruited who recruited you. I further certify that to the best of my knowledge I was never permanently removed from the MTI program due to misconduct. Your Signature --------------------------------------------------------------------Date Recruitment How did you hear about the MTIA - Friend or Co-worker---- Ad------Internet ----- Other If you were recruited who recruited you.

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