VVOF Mail-in Membership-at-Large Application for Associates
Yes I want to join the Vietnam and All Veterans Of Florida as an associate member-at-large under the Vietnam Veterans of Florida Association.

All information supplied by you is confidential, and will not be distributed to anyone else.

INSTRUCTIONS: Type directly on the form. It is important that ALL fields be filled in. Further instructions are at the end of the form.

INFORMATION
Name

First: Middle Initial: Last:

Address: City: State: Country:

Email Address:

Phone # Just the Ten (10) digit number not a 1

Home Ph: Work Ph:

Date of Birth :

AnnualAssociate Member-at-Large ($10)


_________________________________________________________
Signature of Applicant above

__________________
Date Signed

Print and mail this completed application, along with a check for $10.00 to:

Vietnam Veterans of Florida Foundation
c/o Ken Baker 1509 Tate Street
Cocoa, FL. 32922-6532

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