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Vet Diversion Program Information
VVA CHAPTER 103 MEMBER CHANGE OF ADDRESS
VVA Chapter 103 will occasionally send information to the membership via the U.S. Postal Service.
Members may apprise the Chapter of their current mailing address by using the interactive
Change of Address
(COA) form below.
To complete and send a COA, mouse-click on an appropriate
Title
, fill in empty text boxes, then mouse-click on the
button located at page bottom.
To clear the COA, mouse-click on the
button located at page bottom.
TITLE:
Mr.
Mrs.
Miss
Ms
(Note: The {TAB} and {SHIFT}+{TAB} keys advance the cursor forward and backward among text boxes.)
NAME AND VVA ID:
First Name:
Middle Initial:
Last Name:
VVA Membership No. (VVA ID Card):
PREVIOUS POSTAL ADDRESS:
Previous Street:
Previous Apartment No.:
Previous City:
Previous State:
Previous Zip Code:
CURRENT POSTAL ADDRESS:
Current Street:
Current Apartment No.:
Current City:
Current State:
Current Zip Code:
E-MAIL ADDRESS (Optional)
:
TELEPHONE NUMBER(S) (Optional)
:
COMMENT (Optional)
:
(Privacy Notice: The Internet Protocol (IP) addresses of VVA 103 website visitors are recorded for statistical purposes.)
Transmitting a COA form might cause the following cautionary security warnings to appear:
Acknowledge the security warnings by mouse-clicking on the
OK
and
Send
buttons.
Vietnam Veterans of America
Central New York Chapter# 103
P.O. Box 675
Liverpool, NY 13088
Email:
webmaster@cnyvva103.org
button located at page bottom.
button located at page bottom.
