Print out a copy of this page, fill in all applicable spaces and mail it to the address at the bottom of this page.
______________________________________________________________________________________

3rd Recon Association
Membership Application

NAME _______________________ __________________ ______
                             Last                     First                Middle

ADDRESS____________________________________________________                                   

_______________________________ ___________ ________
                          City                            State        Zipcode
               
PHONE _______ ______________________
               Area code                  Number


DATE OF BIRTH ________________________
                                 Month Day Year

Email address: ________________________________________
 

DATE(S) OF SERVICE WITH THE 3rd RECONNAISSANCE BATTALION while in combat :

FROM ______________________    /     CORPSMAN INDICATE YES ________

TO ______________________ (In which year to you want to be listed?)

RECON COMPANY SERVED IN ________ (If more than one, with which one do you wish to be listed?

 
Copy of DD-214 MUST Accompany Application or For those Vietnam Veterans I will need the names of two men that served with you in Vietnam, and for those that come after Vietnam, I will need some kind of information that shows that you served with the Battalion.>>> I understand submission of this form, and once approved, I will become a member of the "3rd Recon Association, "I also give permission for my name, address, phone number, to be published as part of the Association name and address listing". (For Bn Assoc. Use Only)

MAIL APPLICATION to:

THIRD RECON ASSOCIATION
Membership Director
Robert J. Vitiello
4485 94th Ter N
Pinellas Park, FL 33782

(home) 727-724-4963 
(cell) 727-253-6967

umpav4@yahoo.com

 

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