V-V-A-AVVA-Membership-Form

Associates of Vietnam Veterans of America

Membership Application

Send application, with dues payment, to:

AVVA

P. O. Box 64732

Baltimore, MD 21264-4732

Make checks payable to AVVA. Chapter 678

Please do not send cash.

Name: _________________________________________________________________

Address: _______________________________________________________________

City: _____________________________ State: ________________ Zip: ___________

Phone: ________________________ E-mail: __________________________________

Date of Birth: ___________________ Male / Female: (Circle One)

Dues: (Check One)

____ One Year: $20

____ Three Years: $50

____ Life Membership, age 49 and under: $250

____ Life Membership, ages 50 to 55: $225

____ Life Membership, ages 56 to 60: $200

____ Life Membership, ages 61 to 65: $175

____ Life Membership, age 66 + : $150

____ Life Membership, time payment plan: $50 down, then $25 per month

(For the time payment plan, please be sure to include your date of birth.)

Payment Method:

____ Check ____ Money Order

Credit Card:

____ VISA ____ Master Card ____ Discover ____ American Express

Credit Card Number: ______________________ Expiration Date: ______________

Signature: __________________________________________

Associates of Vietnam Veterans of America

Mission Statement and Vision

Associates of Vietnam Veterans of America is
a national, nonprofit membership and
service organization dedicated to advancing
the full range of issues affecting Vietnam
veterans, their families, and their
communities. Our more than 6,000 members
are families, friends, and supporters of
Vietnam veterans, as well as Vietnam
veterans and veterans of other eras. AVVA is
affiliated with Vietnam Veterans of America,
the nation's leading Vietnam veterans
organization. Together, we work to ensure
that Vietnam veterans get the honor,
respect, and benefits they deserve. AVVA
brings an additional focus on those who
stayed behind when our men and women in
uniform answered the call to service. This is
the extended family that makes up the
Vietnam experience—the parents, spouses,
children, friends, and communities of
veterans.

AVVA is the place for this extended family to
join together for action, healing,
reconciliation, mutual support, and
fellowship. AVVA members can affiliate with
any of VVA's 600 chapters, joining in
outreach and assistance to veterans,
legislative action, community service, and
social activities.

Associates of Vietnam Veterans of America
began as a group of members within Vietnam
Veterans of America. As the scope of
activities and the number of people involved
grew, this membership group formed the
Associates of Vietnam Veterans of America in
1999 as an independent membership and
service organization.