^{Application For Membership
4th Infantry Division (IVY) Association
Spotswood deWitt Chapter (6-29 FA)}

Having served with or been attached to the
6th Battalion, 29th Field Artillery, 4th Infantry Division,
I hereby apply for membership and enclose $15.00 for my annual dues.

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"For Office Use Only"

N/R____________________ CH_______________________

C/S_____________________ RB_______________________
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Make checks payable to: 

Spotswood De Witt Chapter, 6/29FA 
 

Battery/Unit/Years: _____________________________________. 

Name: _____________________________________.

Address: _____________________________________. 

City: _____________.   State: __________.   Zip: _______. 

Phone: (___)____-______.    Fax: (___)____-_____. 

Email Address: __________________. 

Spouse's name: ________________________.        

Mail this form with your dues, directly to: 
Spotswood De Witt Chapter, 6/29 FA
Dave Dollner
315 Jumping Branch Road
Tamassee, SC 29686

 Print out this application and send it via the postal service.

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