F Troop 8^th Cavalry Vietnam Veterans Association

Membership Form

First Name __________________ Middle Initial ____Last Name___________________

Mailing Address _____________________City , ST. & Zip_______________________

Home Phone ( )__________________________

Work Phone ( )__________________________

Fax Number ( )__________________________

E-Mail Address ____________________________

First Tour of Duty_________________________________________________________

Second Tour _____________________________________________________________

Third Tour ______________________________________________________________

Specialty________________________________________________________________

If pilot, Call Sign _________________________________________________________

Nickname _______________________________________________________________

Spouse’s Name ___________________________________________________________

Dues are $25.00 per year, due April 1^st

Payable to:

Richard Du Bois

102 Lechmere Drive

Fairfield Glade, TN 38558-2739

If you are not interested in membership or already belong, please fill out the above data and send or contact admin@blueghosts.com, (Joe Loadholtes) to keep your contact information current and to access the online database at http://www.blueghosts.com