Official Membership Application
For The TLC Brotherhood, Inc.; a tax-exempt organization, Tax ID #54-1932649

Last name: ____________________________, First: _________________, MI:______, Nickname:________________
Spouse or additional household member: _____________________ email: ____________________________________________________
Street address:____________________________________________________ Home phone: ( )_____________
City: ____________________________________, State: ______, ZIP: _______, Country: ______________________
There are two requirements for membership:
1. Declare support for the objectives of the TLC Brotherhood, Inc., indicated by signing this application. Article II. Objectives
The TLC Brotherhood is organized for the following purposes and no other:
1. To provide a benevolent, non-partisan association primarily for veterans, both military and civilian, of the era of United States involvement in the armed conflicts in Southeast Asia, with a primary interest in service outside the Republic of Vietnam, and open to all who contribute dues, if any, and agree to support these objectives. Association shall be facilitated by provision of means of communication among members and to the public for educational purposes. These means may include internet member lists and websites as well as periodic newsletters for members not using the internet.
2. To provide charitable assistance through endeavors that the membership may select from time to time. Financial assistance using TLC Brotherhood funds shall be limited to charitable causes or organizations and shall not inure to the benefit of any individual member of the TLC Brotherhood.
3. To honor the service of those described in Objective 1, and the memory of those who died or are missing in action as a result of their service.
4. To collect and preserve the history of the service of those described in Objective 1, and to promote public knowledge and understanding of this service through educational activities.

Signed: __________________________________________DATE:_________________________
by my signature, I hereby declare my support for the Objectives of The TLC Brotherhood, Inc.

2. Pay annual dues: $25 per household (assistance is available through donations of other Brothers).
I wish to make this tax deductible donation (optional) to help children and other needy persons in Southeast Asia, as described on the Assistance Page of the TLC Brotherhood, Inc. webpage: $_________________


Branch: USA USN USAF USMC USCG Other, including civilian orgs:___________________________________
Circle all years you spent any time in Southeast Asia:
1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969
1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 other ___________________________________
Circle bases where stationed: U'Tapao / Don Muang / Camp Friendship / Takhli / Korat / Nakhon Phanom / Ubon / Udorn / Chiang Mai / Lop Buri / LS 85 / Savannakhet / Other Thai, Lao: __________________________________
Vietnam at__________________________________ Cambodia at ________________________________________
Units, jobs, AFSCs:______________________________________________________________________________
How Did You Learn About Us?____________________________________________________________________
Veteran groups you belong to:
VFW (Udorn?__), American Legion, DAV, VVW, Other: ________________________________________________

Special skills, interests, occupation, etc.:
 
  Mail with dues and optional donation to our Membership Committee at:
TLC Brotherhood, Inc.
PO Box 343
Locust Grove, GA 30248
You will receive an acknowledgement card when membership is recorded (allow 3 to 4 weeks) [Please write additional information about yourself on the reverse, if you wish.]