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Blue Star Mothers of America, Inc.
Organized1942 –CongressionallyChartered1960
www.bluestarmothers.org
 Membership Application 
Transfer Application
Membership applications and dues can be submitted directly to the chapter you join, check made
payable to: Truckee Meadows NV#3, Blue Star Mothers of America, Inc.
Or they can be mailed to: Truckee Meadows NV#3, Blue Star Mothers of America, Inc.
c/o Laura Deahl, 1st
VP Membership,
8141 Monterey Shore Dr., Reno, NV 89506
www.bluestarmothersNV.org
laura.deahl@yahoo.com
Annual Membership Fee: $20 Note: Associate Members and Dads do not pay fees.
Please check one of the following:
Membership: I am a New Member:
I am a Transfer Member From Chapter #, City and State
Please check one of the following:
I am a: Mother Gold Star Mother Associate Dad
Applicants Full Name:
Address: (city, state & zip), (WE MUST HAVE COMPLETE INFO)
Email:
Home/Primary Phone: (REQUIRED)
Cell Phone (optional):
Please fill out the following for each military/veteran child. Use reverse side if necessary:
Name M/F Branch/Veteran
LOYALTYOATH: I do solemnly swear that I am not a Communist, Fascist, or Terrorist. I do not advocate nor am I a member of
any organization that advocates the overthrow of the government of the United States by force or violence or other unconstitutional
means or seeking by force or violence to deny any person their rights under the Constitution of the United States.
I do further swear that I will not so advocate nor will I become a member of such an organization during the period I am a
member of the Blue Star Mothers of America, Inc. I will support and defend the Constitution of the United States against all
enemies foreign or domestic; that I will bear true faith and allegiance to the same that I sign this oath freely, without any mental
reservation or purpose of evasion, so help me God.
Signature: Date:
For Administration Only: Date application received Received by:
Paid: by check #. cash money order # Amount:
Membership card: given mailed Date: Date deposited into account:
Updated on National’s website New Member Packet mailed Date:

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BSM Application 14-15

  • 1. Blue Star Mothers of America, Inc. Organized1942 –CongressionallyChartered1960 www.bluestarmothers.org  Membership Application  Transfer Application Membership applications and dues can be submitted directly to the chapter you join, check made payable to: Truckee Meadows NV#3, Blue Star Mothers of America, Inc. Or they can be mailed to: Truckee Meadows NV#3, Blue Star Mothers of America, Inc. c/o Laura Deahl, 1st VP Membership, 8141 Monterey Shore Dr., Reno, NV 89506 www.bluestarmothersNV.org laura.deahl@yahoo.com Annual Membership Fee: $20 Note: Associate Members and Dads do not pay fees. Please check one of the following: Membership: I am a New Member: I am a Transfer Member From Chapter #, City and State Please check one of the following: I am a: Mother Gold Star Mother Associate Dad Applicants Full Name: Address: (city, state & zip), (WE MUST HAVE COMPLETE INFO) Email: Home/Primary Phone: (REQUIRED) Cell Phone (optional): Please fill out the following for each military/veteran child. Use reverse side if necessary: Name M/F Branch/Veteran LOYALTYOATH: I do solemnly swear that I am not a Communist, Fascist, or Terrorist. I do not advocate nor am I a member of any organization that advocates the overthrow of the government of the United States by force or violence or other unconstitutional means or seeking by force or violence to deny any person their rights under the Constitution of the United States. I do further swear that I will not so advocate nor will I become a member of such an organization during the period I am a member of the Blue Star Mothers of America, Inc. I will support and defend the Constitution of the United States against all enemies foreign or domestic; that I will bear true faith and allegiance to the same that I sign this oath freely, without any mental reservation or purpose of evasion, so help me God. Signature: Date: For Administration Only: Date application received Received by: Paid: by check #. cash money order # Amount: Membership card: given mailed Date: Date deposited into account: Updated on National’s website New Member Packet mailed Date: