I would like to join Veterans For Peace at the following level...

___ Regular/Associate Membership ($25)
___ Supporting Membership ($50)
___ Sustaining Membership ($100)
___ Lifetime Membership ($1000)



Please note: Membership in Veterans For Peace is open to all individuals. Military veterans are eligible for Regular membership. Non-veterans can become Associate members. Veterans applyng for membership need to submit a copy of their dischage papers (DD214). Otherwise they will be enrolled as an Associate member. For a form to request a free copy of your DD214 from the federal goverment, visit http://www.va-home-loans.com/dd21_request_VA_loan.htm



Name:    ____________________________________

Address: ____________________________________

             ____________________________________

E-Mail:   ____________________________________

Phone:   ____________________________________



Send this form to
Veterans For Peace
                            216 South Meramec Avenue
                            St. Louis, MO 63105