APPLICATION FORM for A.N.V.V.W.A. MEMBERSHIP
Please print out the following form, complete the
required details and
mail to the address at the bottom.
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AUSTRALIAN NAVY IN VIETNAM VETERANS' WELFARE ASSOCIATION of WA (Inc.)
MEMBERSHIP
APPLICATION
(Voluntary
$20 )
SURNAME: ......................................................
GIVEN NAMES:................................................
ADDRESS: .......................................................
.........................................................
........................................................
POSTCODE:.............................
TELEPHONE:
(HOME)........................................(WORK)……………………..........
SERVICE: NAVY / ARMY / AIR FORCE OFFICIAL No: .................................
DATE JOINED:
...................................... DATE DISCHARGED:
.....................................…
SHIPS/UNITS SERVED IN (INCLUDE DATES):
_____________________________________________________________________________________
_____________________________________________________________________________________
(1)
THEATRE OF WAR
(2)
PEACE KEEPING FORCE
(3)
OTHERS
Forward your application to:
ANVVWA, PO Box 69, NORTH FREMANTLE 6159
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