To apply for membership, please fill out the form shown below and return to John Shafer.

VIETNAM HELICOPTER PILOTS ASSOCIATION
WASHINGTON STATE CHAPTER
C/O John Shafer, CPA
2331 Eastlake Avenue East – Seattle, Washington 98102-3398

Membership Application or Change of Address

  • Application                 
  • Address change      
  • Annual dues – $20
  • Lifetime Membership is available

for Age 80 and above —$75.00
Age 75 to 79 ——–$100.00
Age 70 to 74 ——–$150.00

Name
Address
City, State Zip code

Home Phone
Cell Phone
Email
Occupation
VHPA #

  • Enclose a check or money order, payable to WSC-VHPA.               
  • Certify that you are a member of the VHPA national organization (required).                       
  • Or, please send application and dues for VHPA national organization.        
  • Indicate if you are interested in helping with Chapter activities (committee member, etc)