Membership is open to Vietnam and Vietnam-era veterans who served on active duty in the U.S.  military (for other than training purposes)  between February 28, 1961, and May 7, 1975 (in-country  Vietnam), or  between August 5, 1964, and May 7, 1975, for Vietnam-era veterans.

ATTENTION:New members and new life members You must submit a copy of your DD Form - 214 form along with this application and dues payment.

Name______________________________________     Home Phone:___________________ Address: ___________________________    E-Mail address____________________________    City: State: Zip: ______________________________  Date of Birth ______________________

Type of Membership:

Individual Member : 1 year - $20____              3 years - $50 ____        Life Member-Ages 49 & Under : $250 ___     Life Member-Ages 61-65:  $175 ____        Life Member-Ages 50-55:  $225 ____             Life Member-Ages 66+:  $150____        Life Member-Ages 56-60:  $200 ____            Optional Time Payment plan- $50 down,                                                                                                                                 $25/month ____

Payment Method:      ___Check    ___ Money Order   ___Credit Card (Visa, Mastercard, American Express, Discover)            Credit Card Number: __________________________          Exp. Date: ________________                                     Signature: ___________________________________

Return your completed application, payment, and a copy of your   DD Form-214 to:  Vietnam Veterans of America, P.O. Box 610906, Port Huron, MI 48060

____ I  would like membership information  on the Associates of Vietnam Veterans of America              (AVVA) for a  spouse/family  member or friend of a Vietnam Veteran

Programs and  services are funded by member dues and public donations since the VVA is a non-profit veterans service organization.