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FTVA Membership Application using Zelle

PRIVACY ACT STATEMENT: The authority to request this information is contained in Public Law 86-36 and Executive Order 12036. The principal purpose of the information is to establish a mailing list for membership rosters containing the name, address and telephone number of all members of the association periodically. Furnishing the information is voluntary; failure to provide the requested information will result in your not being listed. Selecting the box below indicates that you have read and understand the above.

Please send appropriate payment via Zelle to "" after completing the below

I have read and understand the above privacy act statement(Required)
Dues are $20.00 per year.
Life memberships are based on your age.


Select your option: 











Your First Name: 
Your Last Name: 
Your Middle Initial: 
Your Home Phone: 
Your e-mail address: 
(Must match address used for
Zelle payment)
Note: If your address is overseas, please put and x in each of the next five fields and put your mailing address in the Overseas Address selection below.
Address (line 1): 
Address (line 2: )
City: 
State:  (two letter abbreviation please)
Zip Code: 
Country: 
Month/Year you entered service: 
Month/Year you left service: 
(put active if still serving)
Status: 


 

Rank/Grade (Optional): 
Cell Phone Number (Optional): 
Last USAFSS/ESC/AFIC/
AIA/AFISRA/25th AF
Unit Assigned to: 
Comments: 
Overseas address: 
Is this a renewal or new membership?