MEMBERSHIP DATA SHEET
(Last Revision Oct 2010*)
To apply, renew, or change membership into the San Antonio
Chapter (SAC-TAI) and National Organization of Tuskegee
Airmen Inc. (R), complete and submit this form electronically
(see
instructions) or TAI Form 2 by mail or in-person with
your membership payment annually to:
SAC-TAI, P.O. Box 264, Randolph AFB TX 78148-0264 or to
any member of the SAC-TAI Board of Directors.
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Application Type
(choose all that apply)

Date:

Title/Rank

First Name and Initial

Last Name:

Jr., Sr., etc.

Address Line 1

Address Line 2

City:

State (Country):

Zip Code + Four

Home Phone

Office/Work Phone

Fax Phone

Cell/Mobile

Phone/Other

E-Mail Address 2

E-Mail Address 1

Check All that apply
Officer (O1-O3)

Officer (O4-Above)

Enlisted

Civil Svc

No Mil/Civil Svc

Air Force

Army

Coast Guard

Marines

Navy

Active Duty

Nat'l Guard

Reserve

Separated

Retired

Highest Rank Held

Mil/Civ Pay Grade

Years of Svc

Other Memberships
OBAP

IBAC

NAI

BPA

AFCOMAP

ROCKS

NNOA

MPMA

LINKS

OTHER

MEMBERSHIP
CLASS
Choose one:
Regular (R)

Student (S)

Organization (O)

Honorary (H)

Life (L)
MEMBERSHIP CATEGORY (see instructions)

Was assigned to Tuskegee Institute Army Air Corps Program; unit at
Tuskegee Army Air Field; or unit growing out of Tuskegee
Experience, during period from Jan 1941 through Sept 1949.
(Experience - TE)

Is spouse or descendent of a Experience Category (TE) member.
(Heritage - TH)

Is a member of Tuskegee Airmen, Inc. in category other than TE/TH.
(Associate - TA)

$80.00 Regular membership
$60.00 Active duty Company Grade Officers O1-O3;
$45.00 for active duty enlisted
$30.00 life members, youth, and students