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Membership in Vietnam Veterans of America 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.
You must submit a copy of your DD-214 with this membership application. |
Please fill out the following form and return to Vietnam Veterans of America (VVA) should be submitted to VVA 905 of Porter County to the attention of the Membership Chairman, P.O. Box 1104, Portage, IN 46368. |
Family, friends and all other veterans (of all branches of the service) not eligible for membership in the VV who wish to futher the purposes of both VVA ans AVVA are welcome and invited to join our Associates of Vietnam Veterans (Chapter 905). Please see AVVA 905 link to apply for membership. |
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APPLICATION FOR MEMBERSHIP
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ATTENTION: Membership in Vietnam Veterans of America 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. You must submit a copy of your DD-214 with this membership application.
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Name:
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Address:
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City:
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State:
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Zip: |
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Home Phone:
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Work Phone:
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E-Mail Address:
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Date of Birth:
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Sex:
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Optional:
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Chapter No.
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Sponsor:
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___ Check here if
you are a member of Vietnam Veterans of America, or if you are a
Vietnam-Era Veteran.
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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
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Money Order
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Credit Card (Visa, Mastercard, American Express, Discover) - Please circle correct type of card.
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Credit Card Number:
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Exp. Date:
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Signature:
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Return your completed application, payment, and a
copy of your DD Form-214 to: |
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Vietnam Veterans of America
VVA 905 of Porter County to the attention of the Membership Chairman
P.O. Box 1104,
Portage, IN. 46368
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