AIR MEDAL SOCIETY
Application for membership Date______
NAME___________________________________________________________DOB________
STREET ADDRESS___________________________________________________________
CITY __________________________ STATE______ZIP________________________
PHONE____________________CELL________________E MAIL______________________
BRANCH OF SERVICE_________________________ RANK_____________________
MINI BIOGRAPHY AND PICTURES ( ALL WILL GO ON THE WEB SITE)
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Attach any evidence you have of the Air Medal Award
Dues Lifetime $100 3 Years $40 1 Year $15
Copy and send this form to Air Medal Society 75-784 Via Allegre,
Indian Wells ,CA. 92210
More Information At palmniblic@aol.com or leeandpita2@gmail.com