Army Transportation Association Vietnam |
|||
Application for Membership |
|||
| 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: gramborw@uofs.edu |
|||
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. |
|||