US ARMY RANGER ASSOCIATION, INC.
www.ranger.org
PO BOX 52126, FORT BENNING, GEORGIA 31995-2126

MEMBERSHIP APPLICATION

Type Membership: ____ Ranger ____ Life______Renewal, Member Number: __________

Name:___________________________________________________________________________________________
__
         Last 						First 				MI
         
Mailing 
Address:_________________________________________________________________________________________
__
         Street/Box 				City 			State 		Zip
         
 Home Phone: ________________ Work Phone: __________________

Cell Phone_______________________FAX: ______________________ Email Address: 
_________________________________

RANGER ASSIGNMENTS

Units 		Inclusive Dates 	  	  Units 			Inclusive Dates

_____ ___________________ _________________ _____ ___________________ _____________________

_____ ___________________ _________________ _____ ___________________ _____________________

Graduate of Ranger Class #__________ - __________

MEMBERSHIP QUALIFICATIONS

RANGER MEMBER: Awarded the US Army Ranger Tab; or serve or have served in a Department of the Army recognized US 
Army Ranger, LRP, or LRRP unit; or have served as advisor to a foreign Ranger unit for one year, or awarded the 
CIB/CMB/CAB while a member if less than a year. If discharged, you received an Honorable Discharge. Documentary proof of 
Ranger service (DD-214, military orders, etc.) must accompany this application. Annual dues are $30 ($20 for active duty 
Rangers in grade E-4 and below), three years $80, five years $120. If you reside outside the USA, and do not have an APO 
address, add $5 per year for postage. The National Personnel Records Center has provided the following website for 
veterans to access their DD-214 online: http://www.archives.gov/veterans/

LIFE MEMBER: Same as Ranger Member, except a one-time fee of $250 (over 65 - $200). Life Membership fees may be 
paid in 4 monthly installments within one calendar year, with Life Membership being granted upon receipt of the final 
installment. US Army Rangers who have been found 100% disabled by an Agency of the US Government will be granted Life 
Membership upon receipt of documentation from the awarding Agency.

HONORARY MEMBER (Non-voting): Honorary Members are those not qualified as above, but who have served proficiently as 
a member (assigned or attached) of a US or Allied military Special Operations unit, who will contribute significantly to the 
support of the US Army Ranger Association (USARA), Inc., or to the Ranger community in general. A Regular Member in 
good standing must nominate Honorary Members. Documentary proof of military service and/ or contribution to the Ranger 
Community must accompany this application. Dues are the same as for a Ranger Member.

Signature of Nominator: __________________________________ Date: __________ MBR# _______

Membership in the USARA, Inc. entitles me to the rights and privileges specified in the provisions of the USARA, Inc.
Constitution and Bylaws. To maintain my membership, I will pay dues no later than January 31 of the new year. My
check / money order for $_______________ is enclosed.

AUTHORITY FOR RELEASE OF INFORMATION AND RECORDS

I hereby authorize and consent to the release of information and records bearing on my military service, to the U S
Army Ranger Association, Inc. The information will be used for the purpose of determining my qualifications for
membership. I understand that any falsification or misrepresentation on this application, or attachments thereto, are
grounds for rejection or expulsion, without return of dues. I further certify that the execution of this form is voluntary.

Signature of Applicant: _______________________________ Date: ____________

Mail application to: Secretary, USARA, Inc., PO Box 52126, Fort Benning, GA 31995-2126.
RANGERS LEAD THE WAY!