Support the Organization that supports our homeless Veterans!

 

AVA  
American  Veterans  Alliance
 
 

Membership Application

 

 
   
  Rank/Title   First Name   Initial   Last Name
  Social Security Number   Month/Year of Birth   Application Date
  Mailing Address

  City

 

  State   Zip +4 code
  Military Unit   Work Phone (with Area Code)   Home Phone (with Area Code)
  Permanent Address (Normally only Active Duty)

            

  City   State   Zip +4 code
  Chapter (If Known)   E-Mail Address

  Please Check Current Status:      
                       
    Active Army  

Dues

  1 Year     3 Years    
    Active Guard & Reserve (AGR)                  
    U.S. Gov. Civilian Employee - E-1 - E-4, Cadet/OCS $ 12.00   $      N/A    
    National Guard - E-1 - E-4, Cadet/OCS GS1-GS4 $ 20.00   $ 60.00    
    Army Reserve - E-5 - E-7, GS5 - GS6 $ 25.00   $ 68.00    
    Foreign National - 0-1 - 00-3, W1 - W3, E9, GS7 - GS11 $ 30.00   $ 82.00    
    Retired Army (All Components) - 04 - 08, W4 - W5, GS12 - GS15, Civilian $ 33.00   $ 90.00    
    Cadet - 07 - 010, SES, ES $ 38.00   $ 103.00    
    Former Military                  
    Other U.S. Armed Services                    
    Civilian                    
    Other

Corporate and Life Memberships are available

       

Send Completed application to: Membership Department,

AVA National Headquarters, P.O. Box 6266, Gulfport, MS 39507

Phone: 1-888-810-8449

www.amvetsalliance.org

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Print the form, fill it out, and forward with remittance to the noted address.

Set Printer margins (Top, Bottom, Left, Right) to .5".

 

Printer Friendly format  HTML.

 

Printer Friendly format  PDF.

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