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SAVE THE MONTAGNARD PEOPLE, Inc. (STMP)
Membership Application
Complete and mail to: STMP, c/o George Hadeler, Secretary
481 Almond Drive, Luray, VA 22835-3521
Telephone: 540 743-2943
Date: _______________________
Full Name __________________________________ Significant Other _____________________
Street Address ______________________________________
City ______________________________________ State _____ Long Zip __________- ______
Phone Work ______________________________ Home _________________________________
FAX ____________________________________ E-Mail _______________________________
Social Security # ____________________ or Date and Place of Birth ______________________
If Vietnam Vet, units/years__________________________________________________________
Other Vet _________ Non-Vet _______ Military Retiree ___ Year ____ Service ___________
Organizational Affiliations __________________________________________________________
STMP Member(s) sponsoring your application __________________________________________
Briefly explain why you are willing to help the Montagnards
_____________________________________________________________________________________
_____________________________________________________________________________________
______________________________________________________________________
How are you willing to contribute ____________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Membership desired: Life ($200) _____; Annual ($25)_______. Annual membership is valid from annual meeting to annual
meeting. Any member whose dues are paid prior to the current annual meeting may vote at that meeting, as well as any other
voting which may be required before the next annual meeting. Life Members voting privileges begin as soon as dues are
received. Annual business meetings occur on the weekend of our Annual Montagnard Picnic. Make check payable to STMP.
I certify that I am not, and never have been a member, contributor, agent, lobbyist, or advocate of any communist organizations
or party. Such activities and those inimical to the Purposes and Activities of the Corporation, Article VIII of our Bylaws, shall
preclude membership. Also, those who elect not to provide a correct Social Security Number OR Date and Place of Birth shall
not be considered for membership.
Your signature _____________________________________ STMP Member/Sponsor__________________________
Continuations/comments ___________________________________________________________________________
________________________________________________________________________________________________
STMP-Mem/App 6/03