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Membership is open to 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. |
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APPLICATION FOR MEMBERSHIP |
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ATTENTION:New
members and new life members
You must submit a copy of your DD Form - 214 along with this
application and dues payment.
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| Address: |
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State: |
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Zip: |
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Work Phone: |
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E-Mail Address: |
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Date of Birth: |
Sex: |
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Optional: |
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Sponsor: |
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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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Payment Method: |
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Check (Make payable to VVA Chapter 776) |
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Money
Order (Make payable to VVA Chapter 776) |
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Donation (VVA is a non-profit organization. No funding is received from the Federal government. Donations are accepted.) |
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Return your completed
application, payment, and a copy of your DD Form-214 to: |
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Membership Chair
VVA Chapter 776
P.O. Box 91
Bettendorf, IA 52722 |
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 Click Here to PRINT this application and mail (with DD Form-214) to the address above... |
