ASSOCIATES OF VIETNAM VETERANS OF AMERICA

Visit the AVVA link, http://www.avva.org/ .

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.

If you are not eligible to be a member of the Vietnam Veterans of America, but wish to support the activities and efforts of VVA, you may join AVVA. Download and print the form below and send in to the address at the bottom of the application. If you reside in the Sacramento, CA Valley Area, please fill in Chapter 500 in the "Affiliated with Chapter____Blank". Thank you for your support.

Application for Membership

Name__________________________________________________

Address________________________________________________________

City____________________________________State________Zip________

Phone_____________________Affiliated with Chapter#__________

Membership Type

One Year@$20.00_____Three Years @$50.00______

Life Membership (select age group and payment preference)

_____Age 49 & under $250.00 _____Age 50-55 $225.00

_____Age 56-60 $200.00 _____Age 61-65 $175.00

_____Age 66 and over $150.00

_____Optional Monthly payment plan ($50.00 down and $25.00 per month till paid)

_____Monthly coupons _____Bill Credit Card

Payment Method

_____Check _____Money Order _____Visa _____Master Card

Card Number_____________________________________Exp. Date_________

Signature _________________________________________________

_____ Check here if your are eligible to be a member in Vietnam Veterans of America

Mail to: AVVA Membership Affairs, PO Box 64732, Baltimore, Md. 21264-4732

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