FIRST MARINE AIRCRAFT WING ASSOCIATION-VIETNAM SERVICE

MEMBERSHIP APPLICATION

Name:  ______________________________________________________

           (First)                                                   (Last)                           (Middle Initial)

Address:  ____________________________________________________________________

                                                     (Street / PO Box)

_____________________________________________________________________________

(City)                                                (State)                                                       (ZIP)

                                     

Phone;  (Home) _____________  (Work)  ______________  Email:  ____________________

Status: Active___   Reserve__   Retired__   Discharged__   Highest Rank/Grade__________

Membership Applied For: 

Regular ($25 yr.) ___   *Life ($400)  ___   Associate ($25 yr.)  ___

*Life Membership can be paid in four (4) $100 installments within the first year.

Enclosed is my check or money order for $_________

VET LOCATOR: The Locator is published for the exclusive use of First MAW Assn. members for the purpose of reuniting fellow Air Wing Vets. Use of the file to solicit goods and services or to seek support for political causes is not in keeping with the spirit of the Association By Laws.

_______________   ___________________   ______________   ________________________

Branch of Service    Grade/Rank in Vietnam   Service Number          MOS ( No. and Title)

______________   __________________________   __________________________________

First Tour Dates    Unit(s)                                        Location(s)

_________________   ________________________  __________________________________

Other Tour Date(s)      Unit(s)                                   Location(s)

Note: Phone numbers are not published in the Locator.  Circle any other information you do not want published.

I affirm that the information provided by me on this application is accurate and that authorization is given to the First MAW Assn. to list my personal data in the Vet Locator. I understand that the use of the Locator by Members is for fraternal purposes only.

Signature: _______________________________________________  Date: _______________

Scholarship Fund: I would like to help build the First MAW Association Scholarship Fund. Enclosed is my check, made payable to the First MAW Association for $ ________________

Submit this form, along with copy of DD-214 and dues, to the following address:

First Marine Aircraft Wing Association-Vietnam Service

Post Office Box 2124

Woodstock, Georgia 30188