Membership application

  United States Veterans Alliance

Membership Application        

 Membership is open to all U.S. Armed Forces Veterans and active duty personnel who served anytime, anywhere. We also welcome family and sponsored friends of Veterans as members. Veterans who were discharged under other than honorable conditions will not be eligible for membership.

DATE                                                                    Please Print Clearly 

Name, First Middle Last

Street Address

City State Zip

Home Phone ( ) Cell ( )

Email Address

Veteran Yes No Date of Birth Male Female

Payment: 1 year – $20 3 year – $50 Cash Check #_______ Other

If you are not not a veteran, please give sponsor Name & Phone #  If you need a sponsor contact us. ___________________________________________

Date Paid &  Amount Paid _________________________________________

Treasurer’s Initials Secretary’s Initials

– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – 

Cut here and keep as your receipt

Meetings are held on the first Monday of every month, 6:30–8:30pm at the Senior Center, 104 Ruth Drive, Ashland City, TN.

Turn in completed application at a meeting or mail with dues payment to:

USVA, P.O. Box 215, Ashland City, TN 37015