| Women Veterans of America Puget Sound Chapter 29 |
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Annual Membership Dues..............$15
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| date of application | |
| phone | work or cell phone |
| first name | last name |
| street address | |
| City | state zip |
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| Military Service from | to |
| Branch of Service |
Army
Air Force
Coast Gaurd Navy Marine Corp |
Proof of service is required for voting membership. Please enclose a copy of your DD214 or equivalent
I am not a veteran but wish to support your work. My donation is enclosed in the amount of
.
If your donation is in honor of someone please tell us about that person and if possible send us a photo to add to our photo page.
Digital is best but if you send a regular photo please enclose a self addressed envelope so we may return it to you.
I prefer a Life Membership and am enclosing my check or money order for
.
Life Membership:
Age 40 and under .....$150
Age 41 - 65 ...............$120
Age 65 and over .......$100
My check or money order for annual dues is enclosed.
Print out this form and mail with your check money order to:
To:
WVA Puget Sound Chapter 29
c/o M. M. Parmenter
PO Box 2746
Bremerton , WA 98310-2746