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.]