REGULAR: I'm a veteran of honorable service with the Multinational
Peace-keeping forces that served in the operational area of Beirut,
Lebanon, during any period since July 1958. I understand that to
qualify for regular membership, I must provide evidence of service
within 90 days of this application in the form of a copy of my DD214
to include dates of service, unit, and certification of the award
of the Armed Forces of Navy-Marine Corps Expeditionary Medal (active
duty submit OQR/SRB entries).
ASSOCIATE: I'm not a Beirut veteran, but am or have been
an active member of the U.S. military service, support BVA's goals
and wish to be enrolled as an associate member. I understand that
I must provide a copy of my DD214 within 90 days of this application
as evidence of honorable military service.
AFFILIATE: I'm not a Beirut veteran and have never served
in the U.S. military, but wish to affiliate with the BVA in order
to support the fraternal and patriotic activities of its regular
and associate members.
Email
must only be in the form username@domain.type Example:
smith@aol.com
Otherwise, you will not get a confirmation email of your submission.
Date(s)
Served in Beirut:
DUES:
The Board of Directors has determined that dues will be $15 per
year.
Life
memberships are available; Under age 56, dues are $150; over
age 56, dues are $100. Donations are accepted to defray postage,
printing and other operational and organizational expenses.
A donation
is not required in order to apply for membership.
I've enclosed my $15 dues for 1999-2000.
Sign me up as a Life Member under age 56 ($150)
Sign me up as a Life Member over age 56 ($100)
I'm the immediate NOK of a servicemember killed in Beirut,
sign me up as an Honorary Life Member (NOK-no dues)
DONATIONS:
Donations may be made to the BVA, registered in the State of Virginia
as a not for profit veterans service organization.
PLEASE ACCEPT THE ENCLOSED DONATION IN SUPPORT OF BVA'S ORGANIZATIONAL
AND OPERATIONAL SERVICES:
$ ______________
Would like to be on our mailing list?
Yes (Leave this checked if you do)
(NOTE:
This item refers to regular US Postal Mailings i.e. Root Scoop II,
etc.)
BVA
SERVICE:
I'm interested in serving BVA as a:
Board Member
Officer
Committee Member
Other _________________________________
COMMENTS:
(70 maximum characters, there is more allowance for comments in
the database contacts section and we encourage you to sign up
there and post an entry.)