MEMBERSHIP LEVELS   and  APPLICATION FORM for

VHPA-ALASKA

Please print and mail to: Lynn Kile 12243 W Skyline Dr. Eagle River, AK 99577
                                    OR: Terry Vraniak 8220 Blackberry St. Anchorage, AK 99502


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)

                                   ___ ( Any military helicopter flying crew member)

                                    ___( Alaska helicopter pilots)

________
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 2017 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!  

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VIETNAM
HELICOPTER PILOTS  
ASSOCIATION ALASKA CHAPTER
(VHPA-Alaska)