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MEMBERSHIP APPLICATION (Membership tour runs from July 1 to June 30)
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| VIETNAM ERA SEABEES, INC | ||
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| NAME:
_________________________________________ NEW
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| RANK/RATE: During Vietnam __________________ Last Held ________________________ | ||
| ADDRESS:______________________________________________________________________ | ||
| CITY: ___________________________________ STATE _________________ ZIP ____________ | ||
| PHONE NUMBER: ____________________ E_MAIL ADDRESS___________________________ | ||
| UNITS (& DATES) Assigned to during Seabee Career: | ||
| _______________________________________________________________________________ | ||
| _______________________________________________________________________________ | ||
| _______________________________________________________________________________ | ||
| _______________________________________________________________________________ | ||
| Would you be willing to help the organization in the areas listed below? | ||
| Membership
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Website
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ANNUAL DUES ARE $ 10.00 PER YEAR |
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AN EXTENDED MEMBERSHIP IS AVAILABLE AT $25.00 FOR 3 YEARS |
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Make Checks payable to Vietnam Era Seabees |
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VIETNAM ERA SEABEES IS OPEN TO ANYONE ! |
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Use your browser print button to print this form. Fill it out and mail to |
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| Vietnam Era Seabees, Inc. | ||
| P.O. Box 5177 | ||
| Midlothian, VA 23112-0020 | ||