Please Print out this form or email Ralph Grambo for a copy if necessary

Army Transportation Association Vietnam

Application for Membership
How did you find the ATAV?

PLEASE PRINT
NEW:_____ RENEWAL:______ ASSOCIATE:_______

NAME____________________________________________
DATE______________

ADDRESS:_________________________________________

City State Zip:_________________________________________

TELEPHONE# Include Area Code_______________________

EMAIL:___________________________To post or correct your email on the email list on the ATAV Website. NOTIFY ralph@grambo.us

 


UNIT WHILE SERVING IN VIETNAM

DATES YOU WERE IN VIETNAM:

WHAT IS YOUR PRESENT OCCUPATION?
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
(Check Payable to)
Army Trans. Assoc. Vietnam
(Mail To)
ATAV
 P.O. Box 7603
 Pasadena TX 77508-7603
Here is information about me while in Vietnam.