BLINDED VETERANS ASSOCIATIONS NATTIONAL AUXILIARY

MEMBERSHIP APPLICATION

IF YOU ARE THE SPOUSE OR FRIEND OF A BLINDED VETERAN, AND ARE AT LEAST 18 YEARS OLD, WE INVITE YOU TO JOIN THE BVA AUXILIARY.

NATIONAL DUES - $10.00

Name________________________________________________

Address______________________________________________

City_________________________________________________

State ________________________________________________

Zip__________________________________________________

Telephone ____________________________________________

E-mail________________________________________________

Name of Blinded Veterans________________________________

          Please Check: Spouse____ Relative_____ Friend ________

Applicant’s Birthday ___________________________________

PLEASE ENCLOSE YOUR CHECK/MONEY ORDER MADE OUT TO THE:

BVAA: SEND IT TO:  Norma Link

                                  654 South Cody Street

     Lakewood, Colorado  80226 – 3049

Phone- 303 – 232 - 5337