F TROOP 8TH CAVALRY VIETNAM VETERANS ASSOCIATION

Membership Form

(Please Print)

Last Name ___________________________________________

First Name _______________________________Middle Initial ________

Street/Apt ____________________________________________________

City ______________________State ___________ Zip Code __________

Home Phone (        )         ________________________

Work Phone (         )_________________________

Cell Phone (         )__________________________

Fax Number (         )_________________________

E-Mail Address _________________________________________________

First Tour ______________________________________

Second Tour ____________________________________

Third Tour ______________________________________

Specialty _______________________________________

If pilot, call sign __________________________________

Nickname _______________________________________

Spouse's Name __________________________________

Dues are $25.00 per year. Payable to:
Richard Duboisz
102 Lechmere Drive
Fairfield Glade, TN 38558-2739

If you are not interested in membership or already belong, please fill out the above data and send to:
Richard Crawley, BlueGhost Database Manager
5030 Ann Arbor Road
Jackson, MI 49201-8801
To keep your information up-to-date.