Vietnam
Security Police Association Application/Data Sheet
Release of Information Policy: VSPA never sells or
releases your information to anyone. Period.
If a veterans calls and asks for contact with you, we will forward that
information for you to consider or discard.
TODAY’S DATE __________________
How to answer:
1. Complete
only the information that you want to share with fellow members.
2. List the names and addresses of SP’s that you have kept in contact
with and or those that you would like to locate.
3. Please PRINT or TYPE
clearly; especially your email address and phone.
4. If your
information changes, and requires updating, it is up to you to keep the
on-file information current.
NAME:
________________________________________________________________________
Last First M.I. ( Nickname or your prefer name)
Address:
______________________________________________________________________
Street # (or P.O. Box) City State
Zip Code
Telephone (____)____________________________(______)________________________
[ ] Home
[ ] Cell
/ mobile / other
E-Mail_______________________________________FAX__
(______)____________________
(PLEASE PRINT VERY CLEARLY)
Personal Info:______________________________________________________________________
Occupation
(or Retired) Birth Date Spouse’s Name (Sisterhood)
Dates of USAF Service_____________________to___________________ _________________
DD/MM/YYYY DD/MM/YYYY Highest Rank
1st Tour in Vietnam
[ ] or Thailand [ ]: ____________________to_____________________ _______________________________________________
DD/MM/YYYY DD/MM/YYYY Base(s) (Not Squadron!)
1st Tour in Vietnam
[ ] or Thailand [ ]: ____________________to_____________________ _______________________________________________
DD/MM/YYYY DD/MM/YYYY Base(s) (Not Squadron!)
SPECIALTY (K-9 (Sentry[ ], [Drug Dog [ ], Bomb Dog[ ], Other[
] _______ ), Safeside, Heavy
Weapons, Law Enforcement, Customs Inspector, Other: ______________________________________
IF YOU WERE K-9: _______________________________________
____________________________________________________________________
Dog(s) Name & Tattoo # SEA K9 Base(s) Vietnam[
] or Thailand [
]
Names (Contact info if known) of
AP’s or SP’s you’ve kept in contact with: _______________________________________________________________
_______________________________________________________________________________________________________________________________
Names and available info on AP’s or
SP’s you would like to find: ________________________________________________________________________
_______________________________________________________________________________________________________________________________
Please list Additional SEA Tours, Specialties,
Dogs, Friends, etc. on the back of this form!
Where did you learn about VSPA? [ ] VSPA Web Site [ ]
Veteran Publication: __________ [ ] Another SP ___________ [ ]
Veteran’s Reunion
___________________ Other: _____________________________________.
IMPORTANT: If you are already a
member of VSPA and you receive this form, please fill it out and return it so
that we can update our records and get you on the mailing list for the
“Guardmount” Newsletter and bulletins. If you are a first-time applicant, complete
this application and mail it with a COPY of your DD214 to the address
below. Include a check made out to VSPA for $15 annual dues. If you join
after July 1st your dues will cover the balance of that year and
the following year. Life Memberships are now available, rates, depending on
your age, are available upon request or on the VSPA website.
MAIL TO:
Paul A. Shave, LM
666 ,
VSPA Membership Chairman
3540 Luke Cir NW, Albuquerque, NM 87107