APPLICATION FORM FOR USVVE POST #3

Name: ___________________________________________

Address: _________________________________________

City: ____________________________________________

State: __________ Zip: ___________ Telephone: (_____)__________

Military Service (Check One)

Army_______ Navy _______ Air Force_______Marines_______ USCG_____

Service Dates from__________to_____________

In what countries did you serve ____________________________

Applicants Signature _______________________________

Date _____________________

Please attach a copy of your DD214 for verification of service.

Dates for eligibility are April 28 1956 to April 30 1975.
Regular membership fee -- $20 per year.
Associated membership fee --- $20.00 per year.
We are duly chartered by the Commonwealth of Massachusetts.
We are a non-profit group.

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USVVE appreciates your support

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