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NASWVC State Coordinator Membership Application

Attachments:
Download this file (2011 -2013 Membership Application 09012011.pdf)2011 -2013 Membership Application 09012011.pdf[ ]236 Kb
Download this file (Associate NASWVC 2011-2013 Brochure.pdf)Associate NASWVC 2011-2013 Brochure.pdf[ ]192 Kb
Download this file (NASWVC SWVC 2011-2013 Brochure.pdf)NASWVC SWVC 2011-2013 Brochure.pdf[ ]191 Kb
Please email your NASWVC Registration Form to This e-mail address is being protected from spambots. You need JavaScript enabled to view it and mail dues to Bertha Hall ( This e-mail address is being protected from spambots. You need JavaScript enabled to view it ), at the address below. For non-members, please make your check to payable to NASWVC. Membership cards will be electronically mailed to you upon receipt and verification by the Treasurer.

______________________________________________________________________________________

NATIONAL ASSOCIATION OF STATE WOMEN VETERANS COORDINATORS
Membership Application and Renewal

Please provide your address information EXACTLY as it must appear on your incoming mail.

Today's Date: ____________

Name:_________________________________________________________________________________

First Middle Initial Last

Office Name:________________________________________Position:____________________________

Address:_______________________________________________________________________________

City:____________________County:__________________State:_______Zip Code:__________+_______

Work Phone:____________________Fax:_________________E-Mail:_____________________________

State or Office Website:___________________________________________________________________

Military Branch: __________ Dates of Service: ________ to __________

Military Branch: __________ Dates of Service: ________ to __________

Military Branch: __________ Dates of Service: ________ to __________

Please indicate the appropriated category:

New Member (SWVC):_______ Renewal:________

New Associate Member:_______ Renewal:________

New Vendor:_______ Renewal:________

State Women Veterans Coordinator Membership (SWVC) – no charge (Current and Past)

State Executive Directors, Commissioners (membership with NASDVA) – no charge (Current and Past)

Annual Associate Individual Membership - $10.00

Category: VBA_____ VHA____ Non-Profit_______ VCSO_____ Private Business____Citizen_______

Accredited Veterans Service Organization_____ Veterans Organization (Non-Profit)________

Send checks to:

NASWVC Treasurer, Attn: C/O Gina Stamper 
 PO Box 5241  Boise, ID 83705-5241 

 

Email Applications to: NASWVC Secretary, Larri Gerson  

This e-mail address is being protected from spambots. You need JavaScript enabled to view it