457th Bomb Group Association

Membership and Subscription Application

Quantity of CDROM you wish to orderl         Address Change

                                Fireballer?       or       Relative?

      Relationship               Other   

 Name    Nickname    Spouse   

Street   

   City    State    Zip   

Phone   Squadron   Rank   Date Assigned   

Duties    Plane Name or s/n ?  

Pilot's
Name    

POW or Evadee?
Date of capture /escape   

Retired?    Rank?    Birthdate   

 This will remove all input from this form.
Click here to print this form.  (You may print the form and fill it out by hand or type in the information and then print the form)

Annual Dues:
$25.00 for a two(2) years...or...
Life Dues:
Under 60 years of age: $110.00
61 thru 65 years of age: $80.00
66 thru 70 years of age: $75.00
71 years if age or older: $60.00
 Make check payable to: The 457th Bomb Group Association
Mail the Application with your check to:

John Pearson, Treasurer
457th Bomb Group Association
1900 Lauderdale Drive, Apt. C-315
Richmond, VA   23238