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APPLICATION FOR MEMBERSHIP
Membership is open to U.S. armed forces veterans
who served on active duty (for other than training purposes) in the Republic
of Vietnam between February 28, 1961 and May 7, 1975, or in any duty location
between August 5, 1964 and May 7, 1975. |
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ATTENTION: New members and new life
members
You must submit a copy of your DD Form - 214 form
along with this application and dues payment. |
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Work Phone: |
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| Date of Birth: |
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| Optional: |
| Chapter No. |
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Sponsor: |
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___ I am already a VVA member and want
to become a life member.
My VVA Member number is ______________ . |
| Type of Membership: |
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Life Member-Ages 49 and Under :
$250 |
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Individual Member -1 year: $20 |
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Life Member-Ages 50-55: $225 |
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Individual Member- 3 years: $50 |
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Life Member-Ages 56-60: $200 |
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Life Member-Ages
61-65: $175 |
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Life Member-Ages 66+: $150 |
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Optional Time Payment plan- $50 down,
$25/month |
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Check |
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Money Order |
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Credit Card (Visa, Mastercard, American
Express, Discover) |
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Credit Card Number: |
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Exp.
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Signature: |
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| Return your completed application,
payment, and a copy of your DD Form-214 to: |
VVA Chapter 472
Veterans Museum Memorial Center
2115 Park Blvd.
San Diego, CA 92101-4752
Telephone 619.231-5977
Email: VVA472 (at) yahoo (dot) com
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