MEMBERSHIP DATA SHEET
(Last Revision Oct 2010*)
To apply or change membership into the San Antonio Chapter (SAC-TAI) and National Organization of
Tuskegee Airmen Inc. (R), complete and submit this form (see instructions on back of the form) and mail
a signed
TAI Form 2 to:
SAC-TAI, P.O. Box 264, Randolph AFB TX 78148-0264.

Payment may be made online or by sending a check with the TAI Form 2 (fill out only if information you
submitted last year changed)
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)
Need a member name
badge?
$82.70 Regular membership ($80.00 + $2.70
handling)


$62.04 Active duty Company Grade Officers O1-O3
($60.00 + $2.04 handling)


$46.61 for active duty enlisted ($45.00 + $1.61
handling)


$31.20 life members (annual fee after 1st year),
youth, and students ($30.00 + 1.20 handling)


$772.05 life members -1st year only ($750.00 +
$22.05 handling)
CHOOSE YOUR MEMBER CATEGORY BELOW:
CHOOSE YOUR MEMBER CATEGORY BELOW:
Renewing members fill out boxes if the information has changed.
Complete Pocket
Patch
 $25.00
Plus $3.50 S&H
Ladies Pin-on
Style
 $25.00
Plus $4.50 S&
H
Sample
Badge