PLAV Emblem

"Unity with Heritage"

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(CHARTERED BY CONGRESS)

Federal Charter - P.L. 98-372, July 23, 1984

Department of Massachusetts

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Membership Application

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Note: Fields are required
Last Name
First Name
Middle Initial
Address
City
State
Zip Code
Branch of Service Air Force
Army
Coast Guard
Marine Corp
Navy
other
Date Entered Service
Honorable Discharge
Birth Date
Phone
E-Mail Address
Spouse's Name
How did you find out about the P.L.A.V.?
Please include any other comments that you wish to make:

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