VQ Association
Membership Application
(Please Print)
DATE: _______________
NAME:_________________________________________________________________
ADDRESS:______________________________________________________________
______________________________________________________________________
TELEPHONE: HOME:
_____________________ WORK:___________________
FAX: ___________________________ email:
___________________________
SPOUSE NAME:___________________________________________________
ACTIVE DUTY RANK: _______ PRESENT STATUS:
______ ____(Active, Retired or Civilian)
SQUADRON(S) SERVED IN:
SQUADRON: ________________YEARS: 19__ TO
19__ BASE: _____________________
SQUADRON: ________________YEARS: 19__ TO
19__ BASE: _____________________
SQUADRON: ________________YEARS: 19__ TO
19__ BASE: _____________________
PLEASE BRIEFLY DESCRIBE YOUR DUTIES IN
EACH SQUADRON:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Please submit this application together
with your annual dues in the amount of $15.00 for a year membership
or $25.00 for a two year membership made payable to the VQ Association
and mail it to the addressee below. Membership will entitle you to notification
of our annual reunions, yearly Membership Roster and inclusion in our
computer database. Dues are payable annually. We do not send a billings.
