Membership Application
Gamewardens of Vietnam
Assoc. Inc.
To qualify for Membership, you can have been in Task Force
116 or in support of Task Force 116 in Vietnam, or in or in support of Riverine
Operations in any event subsequent to Vietnam. If you have left the military
service a copy of your DD214 or sponsorship by an active member of Gamewardens
of Vietnam Association is required
Please circle the Chapter that you wish to be affiliated with:
West Coast | North East | South East |
Mid-Atlantic | North West | Member at large
(National)
PERSONAL INFORMATION: (This information will never be released to anyone!)
Last Name______________________________First Name_____________________ MI______
Address ____________________City_______________ State _________ZIP_______ - _____
Home phone number____________________ Email address______________________________
Work phone number____________________
Spouse's Name________________________ Sponsor's Name______________
MILITARY SERVICE:
Unit Assigned (1)_____ Unit (2)_____Unit
(3)______ NIOTC Training Class_____When? Mo./Yr._____
Pay Grade / Rate in country_______________
If still active, present command___________________ Retired____________From to (Mo./YR.)_______
Decorations received:
Navy Cross____PurpHrt____Silver
Star____Bronze Star____Combat Action____ PUC____
NUC___MUC___NatDef___
VietCampagn_____ CivicAct____
Cross of Galantry___
Other_________________
Searching for a former "River Rat"? If so, who?_______________________________________________
Type of membership
New_____ Renewal _____Life+=$225.00 ______
Life=$200.00 _______ Biennial (dues paid every other year) =$50.00 _______
Associate=$15.00_____
AMOUNT ENCLOSED $____________ Cash, Check, Other
Received by _______________________ Date _________ Check Number___________________
Mail to:National President, PO Box 701786, San Antonio, TX 78270
If
you have any questions concerning Gamewardens of Vietnam Assoc. Inc., Please
call John Woody on our toll-free line 1-866-220-7477
or E-mail:
jwoody@texas.net.