LETS  KEEP  HER  FLYING  AND  PRESERVE   HER  HISTORY!

FREEDOM'S FLYING MEMORIAL IS A NON-PROFIT 501C3 VETERANS ORGANIZATION.
  A PORTION OF YOUR MEMBERSHIP MAY BE TAX DEDUCTIBLE TO THE EXTENT OF THE LAW.

____NEW MEMBERSHIP          

____RENEWAL (CHECK ONE)

ANNUAL MEMBERSHIP TYPE/DUES  (CHECK ONE)

___CHILDREN $15.00 (Ages 1 thru 12)

___INDIVIDUAL $35.00

___FAMILY $50.00 (TWO ADULTS, CHILDREN 12 YRS AND YOUNGER LIVING IN HOUSEHOLD.)

___LIFETIME MEMBER $500.00 Will receive a Free hat and T-Shirt

___BUSINESS ANNUAL $100.00

MEMBERSHIP BENEFITS INCLUDE:

         1. FREE ADMISSION TO MUSEUM/HANGAR AND one(1) GUEST

         2. FREE FREEDOM'S FLYING MEMORIAL EMAIL NEWSLETTERS

         3. INVITATIONS TO ALL AIR SHOWS AND SPECIAL EVENTS

         4. YOUR OWN FREEDOM'S FLYING MEMORIAL MEMBERSHIP CARD

         5. DISCOUNTS ON  YN-19 APPAREL (T-shirts, golf shirts, sweatshirts, jackets)

 Your membership will help us to preserve a piece of our nations history and also help us continue flying YN-19 to Air Shows, Veteran/Special  Events, Parades, Schools and Colleges.

THANK YOU FOR YOUR SUPPORT!

 I WANT TO BE A MEMBER !

NAME____________________________________________

ADDRESS:__________________________________________

CITY:________________________ STATE:_____ ZIP:_________

EMAIL ADDRESS:______________________________________

PHONE#   HOME:___________________  CELL:________________  BUS:_________________

METHOD OF PAYMENT: CASH_____   CHECK_____  MONEY ORDER_____

Prior/Current Military - yes_____ no____
1. Name, Rank and Branch of service_____________________________

2. Units or Units Served in_________________________________

3 .Dates served ._________________________

PLEASE MAKE CHECKOR MONEY ORDER PAYABLE TO:

Marine Helicopter Squadron 361 Veterans Association, Inc.
P.O. Box 429
Cutchogue, New York 11935

(MEMBERSHIP RENEWALS WILL BE  YEARLY ONE YEAR FROM THE RECEIVED DATE)
 

PLEASE PRINT FORM, FILL OUT AND MAIL WITH PAYMENT ADDRESS ABOVE: