Application for Membership  Ladies Auxiliary of the Fleet Reserve Association (LA FRA) Membership in the Ladies Auxiliary of the Fleet Reserve Association is limited to spouses, parents, grandparents, sisters, brothers, children, stepchildren and grandchildren not less than 16 years of age of members of the Fleet Reserve Association and widows, widowers, parents, grandparents, sisters, brothers, children, stepchildren and grandchildren not less than 16 years of age of persons who were members at the time of death or eligible to be members of the Fleet Reserve Association at the time of death.     All applicants must be at least sixteen (16) years of age.  Annual membership is $15-- Print and Mail to:  Ladies Auxiliary FRA P.O. Box 490678 Everett, MA 02149-0012 questions and comments call 617.548.1191

Name In Full	____________________________________ Date of Birth __________________ 

Please circle all that applies to your status-  I am the:  Wife/Husband/Mother/Father/Sister/Brother/

Widow/Widower/Daughter/Son/Granddaughter/Grandson/Stepdaughter/Stepson/Grandmother/Grandfather of:

 __________________________________________________________________________________________________
  (FRA Members full name)		         	        	(branch of military service)

Your Address _______________________________________________________________________________________

Your City/State/Zip_________________________________________________________________________________

Your Email Address ______________________________ Telephone # (____) _____ - _________

Membership Preference: Nearest Unit ___  Member at Large ___   

Payment - Dues are $15 per year:  Enclose check payable to LA FRA 

Applicants Signature  ____________________________________________  Date _______________

Proposed By____________________________ LA FRA Membership #_______________  Unit#____________
                      (name)

 _______________________________________________________________________________________________
                _______________________Verification of Eligiblity______________________

The above named Fleet Reservist is a member of FRA Branch #_________ (or)

The above named Fleet Reservist is deceased and was eligible for FRA Branch membership at the time of death

________________________________________________________________________________________________________________
 (date of death)          (verified by)                       (LAFRA Title)                 (Date)