Beale Officers Spouses Club

Membership Form 2013-2014

Please select a membership category:
_____ Active: Spouses of commissioned or warranted officers of active-duty military personnel (MP), including foreign military assigned to Beale AFB, family members 18 years of age and are in residence with a sponsor who is a member, Spouses of GS-7 equivalent or above and Spouses of full time officers of the active duty Guard. _____ Associate: spouses of retired commissioned or warrant officers, widows and widowers of officers of the Armed Forces, spouses of civilian members who are eligible to be members of the BOSC and self-sponsored members who are eligible to be members of the BOSC _____ Honorary: As invited by the BOSC

Annual dues for Active and Associate members are $50.00 for the twelve month period beginning June 1st. Please make checks payable to Beale Officers Spouses Club. Mail the completed form with your dues to: Beale Officers Spouses Club: P.O. Box 9175, Beale AFB, CA 95903 Attn: Membership Member Name _____________________________________________________________ Phone _______________________________ Cell Phone _____________________________

Address _____________________________________________________________________________________________ City ______________________________________________ State _________ Zip Code ___________________________ E-Mail ______________________________________________ Birthday (mo/day)__________ Anniversary(mm/dd)__________ Sponsors First Name / Unit /Rank________________________________________________________________________ Please send me the monthly BOSC newsletter by (check one): email ______________ regular mail ___________________ Sub-Club interests (please check all that apply or list your own: Book Club Bunco Lunch Bunch Hiking Playgroup Scrapbooking Walking/Running Club Other: ___________________________ Are you interested in a board position?_____________________________ Please read and initial the following statements to indicate your consent:
_______ I understand that if I make reservations for a BOSC function for which there is a cost to attend and I do not cancel by the RSVP date, I am still responsible for payment. The BOSC will make every effort to replace my reservation with a walk-in attendee. _______ I understand that the information provided by me on this form may be reproduced and distributed to the members of the BOSC in the form of a membership directory, e-mail alerts and reminders for BOSC functions, mailing lists for BOSC publications, and other purposes of BOSC business. Your personal information will not be sold; it is for club business only. ______The following information WILL be published in the membership directory. Please circle those item(s) you wish NOT to be published: (Please circle all that apply) Spouses name, rank and unit. Phone number Address Email address Birthday Anniversary ______ I understand that membership information contained in the membership directory, email distribution lists, and board rosters are for official BOSC use only. This information may not be used to forward chain emails, or to promote personal businesses, causes, or political views. ______I understand that photos may be taken at various functions of the BOSC. By initialing here, I give my permission for my name to be utilized captioning these photos for BOSC publications.

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