KOREAN WAR VETERANS ASSOCIATION
TEXAS LONE STAR CHAPTER # 76
P. O. Box 802541 Houston, Texas 77280-2541
Phone/Fax: 713-774-3662
Website: kwvahouston.org
MEMBERSHIP APPLICATION
YOU ARE ELIGIBLE FOR MEMBERSHIP IF:
You served honorably in any of the Armed Forces of the United States, within or outside Korea, during the Korean War era, June 25, 1950 to January 31, 1955, or if you served honorably in Korea from February 1, 1955 to the present time.
You served honorably in any of the Armed Forces of the United Nations Command, or in the Armed Forces of the Republic of Korea during the Korean War era, or if you served in South Korea thereafter.
NAME: _____________________________________________________________PHONE: __________________
ADDRESS: ___________________________________________________________
CITY: ____________________________ STATE: __________ ZIP: _______________
SERVICE BRANCH: __________________SERVICE DATES: __________ TO_______
SERVICE UNIT: ______________________LAST RANK:________________________
SERIAL NBR: ________________MAJOR DUTIES: ___________________________
MEDALS/RIBBONS: ________________________________________________________ ___________________________________________________________
MEMBER OF KWVA NATIONAL? ___________EXPIRATION DATE:_______________
BIRTHDAY: _____________ MARRIED? ________ SPOUSE NAME: ______________
SPOUSE BIRTHDAY: _____________WEDDING ANNIVERSARY:_________________
(Use other side if needed)
PLEASE ANSWER THE FOLLOWING:
How did you hear about us? _____________________________________________
Would You Like To Serve: On a Committee? ______ In The Color Guard? ______
ANNUAL DUES: (ENCLOSE CHECK WITH APPLICATION):
Regular Membership - $20.00 Life Membership - $200.00
(Medal of Honor Recipients/Prisoners of War pay no dues)
I certify, under penalty of law, that the above information provided by me is true and correct.
SIGNED: _________________________________________DATE: _______________
FREEDOM IS NOT FREE