| Member Information: |
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| Salutation: |
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| Last Name: |
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| Address: |
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| City: |
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| State: |
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| Postal
Code: |
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| Email: |
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| Phone: |
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| "I
certify that I served on Active Duty in the Armed Forces: |
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| Membership Type: |
Annual
Dues Donation |
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$35.00: |
Active Duty Members of the Armed Forces |
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$100.00:
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Regular
Veteran & Retired,
all branches |
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$1,500.00:
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Benefactor
Membership |
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$2,500.00:
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Gold
Membership |
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$5,000.00:
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Patriot
Membership |
| Select Membership: |
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| Corporate Memberships: |
For information about Corporate Memberships,
please contact ASDV at (415) 728-2642 |
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| Family Membership: |
Annual Dues
Donation |
| $25.00: |
Gold
Star Survivor: Parent, Sibling, Guardian and/or Grand Parent
of died on Active Service Veteran. |
| $25.00: |
Silver
Star Caregiver:Parent, Sibling, and/or Guardian
of Disabled Veteran. |
| $25.00: |
White
Star Veteran: Parent,
Sibling and/or Guardian of Honorable Service Discharge
Veteran. |
| $25.00: |
Blue
Star Active Service: Parent,
Sibling and/or Guardian of Active Duty Military. |
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Your
spouse and children over 21 years are eligible for membership
through your approved membership. Please list names, age
and relationship of those whom you would like to add:
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| Family Member 1: |
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| First Name: |
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| Last Name: |
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| Relationship to member: |
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| Age: |
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| Select
Family Membership Type: |
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| Family Member 2: |
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| First
Name: |
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| Last Name: |
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| Relationship to Member: |
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| Age: |
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| Select
Family Membership Type: |
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| To
register additional Family Memberships, please contact ASDV
at (415) 728-2642. |
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