USAPOVA
Membership Application

Name: _________________________________

Street Address: _____________________________________________________

City: _________________________________

State, Zip: _________________________________________________________

Home Phone: (     )__________________ E-Mail: _______________________

Other Phone: (     )_________________ E-Mail: _______________________

Fax: (      )________________________

Spouse: _____________________________

Psyop Service Unit/Year/Location:__________________________________________________

_____________________________________________________________________

MOS/Duties:__________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

If PSYOP involvement was not active duty military, please describe your involvement in PSYOP: _____________________________________________________________________

_____________________________________________________________________

Any other information or comments you care to provide: _____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Effective 1/1/05, dues are $30 per year payable in two year increments for 2005-2006 or $150 for 2005-2010. Membership to all PSYOP troops on active duty, is free for those with an active email account and $15 to cover mailing/printing costs without an email address.

Please send dues to... Arlo Despain, 1762 Tramway Dr, Sandy, UT 84092  

Please contact Arlo Despain at arlopova@yahoo.com if you need to make other arrangements. We will not turn anyone down because of financial situations."