Vietnam Veterans of America Chapter 452 (NJ)

MEMBERSHIP

Your best options are to: contact Dennis O'Connor at:

 (908) 859-6179

click here for application  Or  Use the one below

Click here for Associate Membership

VIETNAM VETERANS of AMERICA

APPLICATION FOR MEMBERSHIP

Welcome to all Veterans who served during the Vietnam Era

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

Name:______________________________________  Date of Birth: ______________

Mailing Address: _______________________________________________________

City: ___________________________________ State: ___________ ZIP: _________

Home Phone: _________________________Cell Phone: _______________________

E-Mail: ________________________________________  Gender:   Male   /  Female

(Optional) Chapter No. ________________ Sponsor: _________________________________

____
 I am already a VVA member and would like to become a life member. My VVA Member number is: ________________

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Type of Membership:

______ Individual Member – 1 year: $20     ______ Individual Member – 3 year: $50     Life Membership – $100 

ATTENTION: New members and new life members. You must submit a copy of your DD Form-214 along with this application and dues payment.
_______________________________________________________________________________________

Payment Method: Check - Money Order - Credit Card (Visa, MasterCard, American Express. Discovery)

Credit Card Number: ____________________________________ Exp. Date: _________________________

Signature: ______________________________________________________

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

Vietnam Veterans of America

P O Box 64299

Baltimore, MD 21264-4299

Revised 01/2016

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