Fleet Reserve Association Unit #22
America's Premier
Lady's Auxiliary Organization ![]()
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Name In Full ____________________________________ Date of Birth __________________
Please circle your status- I am the: wife/ mother/ sister/ widow/ daughter/ granddaughter/ grandmother/
stepdaughter of:
__________________________________________________________________________________________________
(serviceman's full name) (rate-rank) (branch of military service)
Address ___________________________________________________________________________________________
City/State/Zip_________________________________________________________________________________
Email Address ______________________________ Telephone # (____) _____ - _________
Membership Preference: Nearest Unit ___ Member at Large ___ Payment - Dues are $15 per year: Enclose check payable to LA FRA Applicants Signature ____________________________________________ Date _______________
Proposed By____________________________ LA FRA Membership #_______________ Unit#____________
(name)
_______________________________________________________________________________________________
_______________________Verification of Eligiblity______________________
The above named Fleet Reservist is a member of FRA Branch #_________ (or) The above named Fleet Reservist is deceased and was eligible for FRA Branch membership at the time of death ________________________________________________________________________________________________________________ (date of death) (verified by) (LAFRA Title) (Date)
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membership questions or comments write LA
FRA Membership |
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