WE WANT YOU
Dedicated to
supporting veterans
SPECIAL DISCOUNT*
LIFE TIME MEMBERSHIP $100
Limited Time Only Until 12/31/2015
Name: ______________________________________________
Male
Female
DOB: ________________________
Address: ____________________________________________
City: _______________________ State: ___ Zip:___________
Telephone:___________________________________________
E-Mail: _____________________________________________
Chapter #126 ________________________________________
Sponsor: (optional) _____________________________________
Type of Membership:
$20 (1 Year)
$50 (3 Years)
Life Member (after 12/31/15)
$200 (age 56-60)
$175 (age 61-65)
* Life Member (before 12/31/15)
$150 (age 66-71)
$100 (all ages)
$100 (age 72+)
Payment Method:
Credit Card:
Visa
Check
Money Order
MasterCard
AMEX
Discover
Credit Card Number:
Signature: __________________________ Exp. Date: ________
ELIGIBILITY. Membership is open to U.S armed forces veterans
who served on active duty (for other than training purposes) in the
Republic of Vietnam between February 28, 1961, and May 7, 1975,
or in any duty location between August 5, 1964, and May 7, 1975.
Return to:
Vietnam Veterans of America, VVA #126
One Center Street, 22nd floor, New York, NY 10007
Membership questions: Fred Gasior 516-769-6847
You must submit with membership application, payment, and a
copy of your DD214.
Support those who support our Nation’s injured
service members, veterans and their families.
Dozens of NYC restaurants have donated to the
Bob Woodruff Foundation to take part in the 2nd annual
DINE OUT FOR HEROES
NOVEMBER 9-13
The Bob Woodruff Foundation creates long-lasting, positive
outcomes for our nation’s wounded, ill and injured veterans,
service members and their families, by finding, funding and
shaping initiatives that enrich the lives of these heroes.
No purchase necessary. Participating restaurants are listed at
BobWoodruffFoundation.org #Dine4Heroes
NOVEMBER 11, 2015
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