Membership
Application
Note: Please print out the application and fill in by
hand.
Please write within the solid lines. THANKS
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ROSIE THE RIVETER
ASSOCIATION MEMBERSHIP
APPLICATION (Please
reproduce for each applicant) Membership
Type (check one) ___Rosie:
Working woman of World War II ___Rosebud:
Female descendant of a Rosie ___Rivet:
Male relative; date of meeting _______. PLEASE
PRINT IN CAPITAL LETTERS Circle
one: Mrs. Mr.
Miss Ms. Dr. First Maiden Last
Address__________________________________ Street, RFD, or Box Apt. No. _______________________________________ City State Zip Telephone
(____) ______-___________ Email:____________________________________ Type
of work or volunteer work done by Rosie. If
applicant is a Rosebud or Rivet, give type of work _______________________________________ _______________________________________ _______________________________________ Approximate
dates of work:________________ Location
of Work:________________________ Rosebuds: Print complete name of
your Rosie: _______________________________________ Your
relationship to Rosie: __Daughter; __Granddaughter; __Great Granddaughter.
Is
your Rosie living? __Yes __No Member
of ARRA? __Yes __No Rivets: Print complete name of
your Rosie or Rosebud_________________________________ Rosies
and Rosebuds only: Enclose check for $10 made to ARRA and mail with application to:
(Your
certificate is your receipt) Revised
January 1, 2007
|
ROSIE THE RIVETER
ASSOCIATION MEMBERSHIP
APPLICATION (Please
reproduce for each applicant) Membership
Type (check one) ___Rosie:
Working woman of World War II ___Rosebud:
Female descendant of a Rosie ___Rivet:
Male relative; date of meeting _______. PLEASE
PRINT IN CAPITAL LETTERS Circle
one: Mrs. Mr.
Miss Ms. Dr.
First Maiden Last
Address__________________________________ Street, RFD, or
Box Apt. No. _______________________________________ City State Zip Telephone
(____) ______-___________ Email:____________________________________ Type
of work or volunteer work done by Rosie. If
applicant is a Rosebud or Rivet, give type of work _______________________________________ _______________________________________ _______________________________________ Approximate
dates of work:________________ Location
of Work:________________________ Rosebuds: Print complete name of
your Rosie: _______________________________________ Your
relationship to Rosie: __Daughter; __Grand-daughter; __Great Granddaughter. Is
your Rosie living? __Yes __No Member
of ARRA? __Yes __No Rivets: Print complete name of
your Rosie or Rosebud_________________________________ Rosies
and Rosebuds only: Enclose check for $10 made to ARRA and mail with application to:
(Your
certificate is your receipt) Revised
January 1, 2007
|
Please cut this application in half along middle line.