NATIONAL EXPLOSIVE ORDNANCE DISPOSAL ASSOCIATION

NATIONAL EXPLOSIVE ORDNANCE DISPOSAL ASSOCIATION

                                (NATEODA)
         USA                  USN                             USMC              USAF
                             PO Box 600, Southwick, MA 01077
           Telephone:  413-569-5040 (Home), 413-569-3161 (Office)
                FAX 413-569-1426, nateoda@verizon.net

               APPLICATION FOR MEMBERSHIP

 
The National Explosive Ordnance Disposal Association, Inc. is a tax exempt fraternal and professional association of active duty and former U. S. Military EOD personnel.  Regular membership is contingent on having attended a recognized EOD school or serving in an EOD Military Occupational Specialty of the armed forces of the United States of America.  Regular members vote and may be elected or appointed to Association offices.  Associate and Corporate memberships are available to persons and organizations interested in military, public safety, or environmental EOD.  Associate and corporate members may participate in NATEODA events, but have no voting rights and may not participate in the administration of the Association.  All members receive the quarterly newsletter “RSP.”  The regular and associate membership is $15.00 for one year or $40.00 for three years.  For active duty EOD personnel in pay grade E5 and below, the membership fee is $10.00 for one year or $25.00 for three years. The Corporate membership fee is $150.00 per year and includes 3 memberships and two free advertisements per year in the “RSP” newsletter.  To apply for membership complete the information on this form, sign the form, and send the form along with the appropriate fee in the form of a check or money order made payable to NATEODA to:  NATEODA, PO Box 600, Southwick, MA 01077-0600.    All fees for renewal of membership are due on January 1st of each year, and should be sent to the same address as applications for membership.  It is not necessary to send an application form with a renewal.

Name Of Applicant:  ______________________________________________________________________
                                                (Individual or organization)                                                   
Address:         ____________________________________________________________________________
                        (Street address, PO Box, city or town, state, and ZIP code)
                        ____________________________________________________________________________
            (Active Duty, list unit to which assigned.  Corporate members specify the names & titles of
your 3 representatives).
Telephone Number:  ______________________________________________________________________
                                    (Home, office, fax, email)

Birth Date: __________ Branch of Service: _________ Rank: ______   Name of Spouse: _____________

EOD School(s) attended & Dates:   __________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________.

Veteran of : WWII (  ), Korean War (  ), Vietnam (  ), Peacetime (  ), Military Expedition for which medal was granted (Berlin, Lebanon, Panama, Grenada, SW Asia, other, Specify ______________________________).

Type of membership requested: _________________________   Term requested: ___________________
                                                         (Regular, Associate, Corporate)                                     (Number of years)

Roster: Do you want your name, address and phone number to appear in the roster (which is distributed to all
members): ________________
                           (Yes, No)

Signature: ________________________________________________________ Date: _________________