Membership Application

Vietnam Veterans of America, Inc. Chapter # 223

PO Box 1583

Santa Rosa, CA 95402-1583

Individual membership is open to Veterans who served on active duty in the US Military (for other than training purposes) from February 28, 1961 to May 7, 1975 or from August 5, 1964 and May7 1975 for Vietnam-era Veterans.

Name___________________________________________

Address_________________________________________

City____________________________________________

State____________________________ Zip ___________

Phone __________________email____________________

Individual membership or Associate membership Dues:

$20 for Annual___ / $20 for Renewal___ / $50 for 3 Year Membership__

Life Memberships:

$250___(age 49 and under) $225___(50-55) $200___(56-60) $175 (61-65) $150 (66+)

For individual membership a DD214 is required if not already on file.

Associates of Vietnam Veterans of America is an adjunct organization with VVA,

Both Veterans and non-Veterans may join. If joining AVVA you are eligible to be a member of VVA Yes__ No__

Print this page and fill out and mail with DD214 (if needed) to our address above.