PVAF Membership Application

Name*
Street Address*
City*
State*
Zip*
Organization you wish to join*

A brief statement as to why you want to join and what you have to offer
Signature
Date
Printed Name
Enclose a annual membership fee of $25 payable to either the Pennsylvania Veterans Assistance Fund.  Mail your application to Jake Barsottini, President Vice President PVAF, 624 4th St., Patterson Heights, Beaver Falls, PA 15010-3206. You can also email your application to jbarsottini@gmail.com and pay your one-time membership fee on our secure site via Pay Pal or Credit Card.