HOW TO BECOME MEMBER

HOW TO BECOME MEMBER

If you served in the military between August 1964 to May 1975 you are eligible to be a regular member of the Vietnam Veterans of America.

Annual dues is $20.00-3 years is $50.00- Life Membership is $250.00

Accompanied by a DD-214

Anyone can join as an Associate member who wishes to keep the legacy of the Vietnam Veteran alive and truthful. Dues are the same.

If your are interested in joining Central Minnesota Chapter 290 please call (320) 420-6933 or e-mail: Jere Polman at jppolman@clearwire.net

Print out page 2 and mail application below to: VVA Chapter 290 PO Box 7004 ST Cloud, MN 56302

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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.

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.

Name:

Address:

City:

State:

Zip:

Home Phone:

Work Phone:

E-Mail Address:

Date of Birth:

Sex:

Optional:

Chapter No.

Sponsor:

___ I am already a VVA member and want to become a life member.
My VVA Member number is ______________ .

Type of Membership:

			Life Member-Ages 49 and Under : $250
	Individual Member -1 year: $20		Life Member-Ages 50-55: $225
	Individual Member- 3 years: $50		Life Member-Ages 56-60: $200
			Life Member-Ages 61-65: $175
			Life Member-Ages 66+: $150
			Optional Time Payment plan- $50 down, $25/month

Payment Method:

Check

Money Order

Credit Card (Visa, Mastercard, American Express, Discover)

Credit Card Number:

Exp. Date:

Signature:

Return your completed application, payment, and a copy of your DD Form-214 to:

Vietnam Veterans of America
P.O. Box 64299
Baltimore, MD 21264-4299