ࡱ > '` * bjbj{P{P 8 : : ( H H H H H H H t ^ ^ ^ 8 M f f f $ S h ` H J ^ b J J H H P P P J H H P J P P H H P PW2l ^ f @ P 0 M P P P H d h f " P f f f 4 f f f M J J J J D : $ : \ p ~ H H H H H H Reinstatement Request Mail this form along with a check for the current National, State and Chapter dues and the Reinstatement Fee to the appropriate Chapter Treasurer. He will forward this form and a check for the current National and State Dues and fee to the PASSAR Treasurer. The PASSAR Treasurer will send a check for the current National Dues and this form to the PASSAR Registrar. Date: ___________________ Members Name: ______________________________________________________________ National #: _______________ PASSAR #: _______________ Mailing Address: ______________________________________________________________ City: ___________________________________ State: _________ Zip + 4: ______________ I hereby request Reinstatement into the Pennsylvania Society, ___________________________ Chapter _______________________________ _____________________ Signature Date ****************************************************************************** The compatriot listed above has paid the necessary dues/fees and is recommended for reinstatement. _______________________________ _____________________ Chapter Officer Date ****************************************************************************** The necessary dues and fees for Reinstatement have been received _______________________________ _____________________ Treasurer, PASSAR Date ****************************************************************************** The compatriot listed above is hereby accepted as a member of the Pennsylvania Society in the ___________________________________ Chapter. _______________________________ ____________________ Registrar, PASSAR Date (forward completed form to PASSAR Secretary and NSSAR along with check for National dues) Pennsylvania Society 6 S Z f r ^ l ' z { 1 2 d g j y G H W Z ^ g t u y z & ' ͻѳ h\ CJ aJ h R CJ aJ h hDF h.k hDF hv h2 h h?K hDF hy h R h\ hy h.k hv hv 5CJ aJ hv C ( ) y z 3 4 k 2 3 j gd?K $a$gdv gdI ) ^ z ' T U % & ' ( ) * $a$gd.T $a$gd $a$gd34 $a$gd?K gdI % ( ) * h0 (hT h0 5B* CJ OJ QJ aJ ph h34 h0 5hI h0 5B* ph j h0 Uh j h Uh?K h R CJ aJ h] h] CJ aJ h R CJ aJ 6 &P 1h:p] / =!"#$% D d n C 0 A C O L O R % 2 0 S A R 3 " ` b [ը܂eCv D n [ը܂eCvPNG IHDR P sRGB pHYs p IDATx^9' Y$ HFPO$ >#(HTdTJ" $;_mmHgVsMqb8`8`8`8p;q 4Y3WFpppݒ oÁێ)[5\v""'F@Ǐt]bU_JmLF'ڥ1ǁ7\[˃͛oEo 1OƋlvҵ'-_OfCK>·KR\Mn3;qbd3105ar {Ϝ,n2FgϦq#eƌWΟ63gMTWrZ+WvLЩ F'X:v[ :dŋUo] e]}Sp yp8w&uL>2e[r.dp;.:1pRg
4dc.k2Ád#ق&D%E?}(Uȗ7ٟR"X`~`C!T?菌^|gӹ*yϘj*}}(C9`D2^ܤ7__+BwF;ٶ*U,TF}~!h*$Q$ps]TJ6/̛&Un&