WPSDC Membership
Application -- 2004

  • Use this form to:

    • Apply for membership in WPSDC

    • Renew membership in our Society

    • Change information in our Directory, and/or

    • Contribute to the WPSDC Foundation.  (The Foundation provides members of WPSDC and others a means to support and further the ideals of the U.S. Military Academy. These means shall include support to recruiting high quality future cadets and to providing aid to activities that provide the Margin of Excellence for current cadets.)

  • This application may be:

    1. Downloaded/printed out as an Adobe Acrobat PDF file.  Once done, the form should be completed and sent to WPSDC, 4348 Autumn Olive Court, Amissville, VA  20106 along with your check for dues and/or contribution to the WPSDC Foundation.

    2. Submitted electronically.  Input information on the Membership Application which is found below.

  • Both the printed and electronic forms have the same content:

    • Required information

    • Directory information -- initially submitted by new members until changed/modified

  • This electronic form provides you a link to a secure credit card processing facility to:  

    • Pay dues (annual or lifetime) and/or

    • Contribute to WPSDC Foundation

 

Electronic Submission
 


Required Information

Application is:       Choices are "Change info only", or "Renewal", "Join" or "Life Mbrshp."

Changes (?):          Indicate if info changes are being furnished

Dues:         
  Yearly (Class thru 1997)        $30 
  Class of 1998 and later            $15
  Lifetime membership                $500

 


                                                                 Payment:    
  to accompany submission

Name (Last - First - MI):       

Class:                            Cullum Nr:   Click here to look up your Cullum Nr  

You may proceed to Credit Card Transaction if you have no Directory changes
-- if you have changes, please enter appropriate information below

Send my 2008-09 Directory by mail (default)          I would like to receive my 2008-09 Directory on CD

 

Directory Info   changes only; please

For all Graduates -- Address and Status:

Home Address:     

Spouse's First Name: 

City:      State:         9-digit ZIP Code: 

Home Phone:     Home Fax:    

Home e-mail: 

Rank:             Service:                 Status: 

 

For Graduates on Active Duty:

Military Assignment (unit/office): 

Address: 

City:     State:     9-digit Zip Code: 

Office Phone:     Office Fax:    

Office e-mail: 

 

For Retirees and Other Non-Active Duty Graduates:

Business / Industry (and Code):                    

Occupation (and Code):                           

Employer/Company Name: 

Business Address: 

City:     State:     9-digit Zip Code: 

Office Phone:     Office Fax:     

Office e-mail: 

 

For WPSDC Member Widows/Widowers: 
    
Enter your name below and your spouse's name and class on top line

Name (LAST - First - MI):      

 

Participation Statement:

I would like to serve 

on the Golf Committee   on the Career Advisory Service
on the Admissions Field Force   as a Class Point of Contact

      I would like to be advised of future golf events.

      My company is interested in being a $100 sponsor of the Society.  Please call me at:
                

      I am donating to the WPSDC Foundation as part of this submission (amount will be entered to dues when completing credit card info).
           
          
 

Donations are exempt from IRS code 501(c)(3)

Before continuing; please be sure the information above is correct

    

Examine your membership information. 
Then
, if information is correct
and you are planning to pay for your membership
(and/or donate to the WPSDC Foundation)
by credit card, please proceed to
our secure site for credit card processing by using this shaded link.

 


Revised: 03/27/08.