Army Transportation Association Vietnam |
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Application for Membership |
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PLEASE PRINT | |||
NEW:_____ | RENEWAL:______ | ASSOCIATE:_______ | |
NAME____________________________________________ |
DATE______________ | ||
ADDRESS:_________________________________________ City State Zip:_________________________________________ |
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TELEPHONE# Include Area Code_______________________ EMAIL:___________________________To post or correct your email on the email list on the ATAV Website. NOTIFY ralph@grambo.us
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UNIT WHILE SERVING IN VIETNAM |
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DATES YOU WERE IN VIETNAM: |
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WHAT IS YOUR PRESENT OCCUPATION? |
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YES______ I WANT TO JOIN THE ASSOCIATION YES____I WANT TO RENEW MY MEMBERSHIP WITH THE ASSOCIATION Receive a complimentary ATAV Pin with a new membership of 2 years or more. Get a flag pin with a new 5yr. membership |
Membership rates: | 1 year:$15.00 2 years:$22.00 3 years:$32.00 4 years:$41.00 5 years:$50.00 |
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(Check Payable to) Army Trans. Assoc. Vietnam |
(Mail To) ATAV P.O. Box 7603 Pasadena TX 77508-7603 |
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Here is information about me while in Vietnam. |
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