GSW Application Form To join GSW, print this form, fill it out, enclose a check or money order made out to Gold Star Wives of America, Inc., and send it to:
GSW New Members Application C/O Nancy M. Keeter 314 Madeira Ave Orlando, Florida 32825
Dues Payment
$15.00 for One Year	$30.00 for Two Years
Or Lifetime Membership:
$300.00 Age 40 and Under	$250.00 Ages 41-55
$200.00 Ages 56-69	$100.00 Ages 70 and Over
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Member's Last Name                      First Name           MI                       Date of Birth
Address
City                                                                                                          ST             Zip
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Phone                                                  E-Mail Address
Spouse's Last Name              First Name               MI
Spouse's Branch of Service
Army      Navy      Marines      Air Force      Coast Guard
Rank / Rate
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Date of Death                Place of Death                                                                     ST
Cause of Death
Required to establish membership eligibility:
Active Duty                   Service-connected Disability
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Signature                                                                                     Date