Please accept my donation:
$10
$20
$50
Other $______
Membership Application
| Name_____________________________________________ | Date of Birth _________________ Sex M F |
| Address___________________________________________ | Home Phone (______) _______________________ |
| City_______________________________ State _________ | Work Phone (______) ________________________ |
| ZIP_______________ | E-mail ______________________ work/home |
Chap # ______ (if known) Sponsor: _________________ |
I'm not a Vietnam veteran, but I
want to help Vietnam vets and their families.
Please accept my donation:
$10
$20
$50
Other $______
Eligibility: Vietnam and Vietnam-era veterans who served on active duty in the U.S. military (for other than training purposes) between February 28, 1961 and May 7, 1975 (in-country Vietnam), or between August 5, 1964 and May 7, 1975 for Vietnam-era veterans. Return this application along with a copy of your DD Form 214.
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Term: |
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Life membership: |
$250 (ages 49 and under) |
$225 (ages 50-55) |
|
$200 (ages
56-60) |
$175 (ages 61-65) |
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$150 (ages 66 and over) |
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Optional life membership time payment plan - $50 down, $25/month |
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| Payment
Options:
Check
Money Order
Credit Card (Visa, MC, Amex)
Credit Card # __________________________________ Exp Date ____/____ Signature __________________________________ Date ______________ |
I am a spouse/family member or friend of a Vietnam Vet and would like
membership information on Associates of Vietnam Veterans of America.
|
| Print this application and mail to: | Vietnam
Veterans of America P.O. Box 2812 San Angelo, TX 76902 |
VVA is a non-profit, veterans service organization. Programs and services are funded by member dues and public donations.