Veterans Caucus of the AAPA

Veterans Caucus Membership Application

Veterans Caucus, Inc.

A Caucus of the American Academy of Physician Assistants
P.O Box 362, Dover, DE 19903
www.veteranscaucus.org

2017-2018 MEMBERSHIP FEES
• The yearly dues are $35.00 (Lifetime is $300)
• The check should be made payable to the Veterans Caucus
• We take Visa/MC/Disc/Amer Exp with this form or in the Services/Caucus Store Tab on our website.

(Please check the appropriate box(s))

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PLEASE REMIT TO:

Veterans Caucus
P.O. Box 362
Danville, PA 17821 or fax 302-526-7154

Due to Federal Regulations dealing with credit card security, we can no longer accept this form via email. It must be mailed or faxed to the Caucus please. For a hard copy to save, mail or fax: