Taunton Area Vietnam Veterans Assoc.

Subtitle

Membership Application

 

TAUNTON AREA VIETNAM VETERANS ASSOCIATION, INC.

P.O. BOX 436

RAYNHAM CENTER, MA. 02768

 

 

APPLICATION FOR MEMBERSHIP                               DATE:________________

 

                                    REGULAR MEMBERSHIP            ________

                                    (VIETNAM VETERAN)

 

                                    ASSOCIATE MEMBERSHIP         ________

                                    (NON RVN VETERAN)

 

                                    AUXILIARY MEMBERSHIP         ________

                                    (NON MILITARY)

 

NAME________________________________________________________

 

ADDRESS_____________________________________________________

 

CITY_______________________ STATE____________ ZIP___________

 

HOME PHONE (____) ______________ WORK (____) ______________Email_________________________

                        All phones considered unlisted – unless specifically stated otherwise

 

 

REGULAR AND ASSOCIATE MEMBERSHIP APPLICANTS

            *please indicate branch of service

ARMY______NAVY_____USMC_____USCG_____USAF_____GUARD_____

 

UNIT(S) SERVED WITH AND APPROXIMATE DATES;

 

 

 

 

Dues; $10:00 per year

 

ALL APPLICANTS; Please feel free to list any organization of which you are a member. If there is any additional information which you want us to be aware of, please feel free to list on the

Back of this application.

 

We endorse NO Political Party or Religion  - WE SERVE ALL

 

A COPY OF DD214 MUST BE SUBMITTED WITH APPLICATION FOR REGULAR MEMBERSHIP