Alaska Chapter of the Vietnam Helicopter Pilots Association
MEMBERSHIP LEVELS and APPLICATION FORM for VHPA-ALASKA Please print and mail, or email to: Lynn Kile 12243 W Skyline Dr. Eagle River, AK 99577 (firstname.lastname@example.org) OR: Terry Vraniak 8220 Blackberry St. Anchorage, AK 99502 (email@example.com) SELECT YOUR MEMBERSHIP LEVEL: ________ GENERAL (member in good standing with the National VHPA) *National VHPA membership number ___________ & expiration date_____________ ________ ASSOCIATE (Non-Vietnam military Helicopter pilot or non-member of the National VHPA (Any military helicopter flying crew member) _____(Alaska helicopter pilot) ________ AFFILIATE ( Supporting individuals, organizations & businesses) ________ AUXILIARY (Spouse of members in good standard) NAME _____________________________________________ Address _____________________________________________ City _______________________________________ State ________________ ZIP __________________ Phone #1 ____________________________ Phone #2_________________________ E-MAIL ADDRESS ________________________________________ DUES: All we request is a tax deductible donation to help us maintain our basic fund level. Dues for 2021-2022 will be via a donation. Give what you can to help us stay strong. Please donate early so we can keep our records up to date! Flight School Class ________________________________ Service Branch ____________________________ Vietnam units _______________________ ________________________ ____________________________ Call sign ________________________ _______________________ ____________________________ Information about helicopters flown, flight hours medals/awards, talents, hobbies, or anything else you would like to share! Be sure and check out our cool Hats and patches! Content copyright 2015. VHPA-ALASKA.ORG. All rights reserved.