Beale Officers Spouses Club

Membership Form
2014-2015
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 1
st
.
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.

___________________________________________________ ____________________
Signature (required) Date