Membership CardAPPLICATION FOR MEMBERSHIP And Memorabilia
1. GENERAL (All applicants to complete)
Surname.....................................................Given Names.....................................................................
Address:..............................................................................................................................................
Phone No (Home)...................................(Work)...................................(Mobile).................................
Email Address.................................................................................
Date of Birth......................................Wife/Partner Name.....................................................................
Signature...............................................Date........................................................
2. VIETNAM VETERAN'S DETAILS
Service No...........................Date/Year Enlisted..............................Date/Year Disch...........................
Year/s served in Vietnam.........................................to..........................................(month/year)
Unit/Ship/Sqn served with....................................................................................................................
3. APPLICATION (is for 12 months to Dec of each year)
Membership $15, Wife/Partner $5
I herewith apply for membership to the year .............. and enclose payment of $..................
Please forward the following Memorabilia: 1...........................................................$..................
2...........................................................$...................
TOTAL $________
All CHEQUES made payable to RAASC Vietnam Association Inc and posted to The Treasurer,
5 Erica Ave, Boronia, Vic 3155. All payments to be in Australian Dollars.
4. SERVICE CHECK
I.........................................................................hereby authorise RAASC Vietnam Association Inc to
make the necessary approaches to SCMA(CARO), RAN and RAAF records (as applicable) for
confirmation of Active Service.
