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MVVV 2016 Membership Renewal Form

Name:___________________________________________________

Address:_________________________________________________________

City/Town: __________________________________Zip____________________

Phone: (_____) __________________

 Lifetime Membership Fee:  $150

 Annual Membership Fee:  $25

Donations gladly accepted:  $10_____     $25_____   $50_____   Other______

 

Make checks payable to:  Merrimack Valley Vietnam Veterans, Inc.
108 Gorham Street
Chelmsford, MA 01824