THE KOREAN WAR VETERANS OF LYCOMING COUNTY PA, INC
KWVLCPA Regular Annual Dues - $15.00
□ New Member □ Renewal Member
Please Check One:
□ POW □ REGULAR MEMBER □ MEDAL OF HONOR
Please Print:
Name__________________________________________ Birth date____________Phone_______________
Address________________________________________________________________________________
City__________________________________________State___________________ Zip_______________
All new members please provide the following information
Unites to which Assigned Branch of Service
Division_______________ □ Army □ Others
Regiment _____________ □ Air Force
Battalion______________ □ Navy Dates of service from______________ to______________
Company_____________ □ Marines
Other________________ □ Coast Guard
Make checks payable to:
The Korean War Veterans of Lycoming County Inc. - Or K.W.V. OF LYC. CO. INC
Mail to: Korean War Veterans of Lycoming County PA Inc.
PO BOX 3232,
Williamsport PA 17701-0232
DATES September 3, 1945 to June 25, 1950 Service within
Korea A
copy of your DD 214 form must accompany your
June 25, 1950 to January 31, 1955 Service within or without Korea application to join The Korean War Veterans of
February 1, 1955 to date Service within Korea for 90 days Lycoming County PA Inc.
Date____________________________
Signature_____________________________________________
Make as many copies of this application form as you wish!
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