By signing the following document, I am becoming a member of the 5th Ranger Infantry Battalion Reenacting Society,
which also includes a subscription to the Ranger Newsletter.
Plase accept the following application for membership along with the $20.00 membership dues payable for one
year to belong to this organization.
In signing this agreement I, in turn, agree to abide by the rules and standards put forth by the 5th Ranger
Infantry Battalion Society, and failure to do so may result in my removal fromthe Battalion.
Applicant’s Name: ................................................................................
Mailing Address: ..................................................................................
Daytime Phone: (.........)............ - .............
Evening Phone: (.........)............ - .............
Email Address: ...........................................
Applicant’s Date of Birth: .......... / .......... / ..........
Applicant’s Signature: ...........................................
Date of Application: ...............................................
............................... by initialing this line, I certify that I am over the age of
16, in concurrence with Federal/NRA regulations.
Spouse, Parent or emergency contact name: ..................................................
Mailing Address: ............................................................................................
Daytime Phone: (..........)............ - .............
Evening Phone: (...........)............ - .............
Email Address: ..........................................................