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APPLICATION FORM for A.N.V.V.W.A. MEMBERSHIP Please print out the following form, complete the
required details and _______________________ AUSTRALIAN NAVY IN VIETNAM VETERANS' WELFARE ASSOCIATION of WA (Inc.)
MEMBERSHIP
APPLICATION SURNAME: ......................................................
GIVEN NAMES:................................................
ADDRESS: .......................................................
.........................................................
........................................................ POSTCODE:............................. TELEPHONE:
(HOME)........................................(WORK)…………………….......... SERVICE: NAVY / ARMY / AIR FORCE OFFICIAL No: ................................. DATE JOINED:
...................................... DATE DISCHARGED:
.....................................… SHIPS/UNITS SERVED IN (INCLUDE DATES): _____________________________________________________________________________________ _____________________________________________________________________________________ (1)
THEATRE OF WAR
(2)
PEACE KEEPING FORCE (3)
OTHERS Forward your application to: ANVVWA, PO Box 69, NORTH FREMANTLE 6159 _____________
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