EmailMe Form - 2025 Vietnam Veterans Day Commemoration Ceremony

1.) Attendee Name *

First MI Last

2.) Branch of Service or Company Name

3.) Years of Service

YYYY to YYYY

4.) Rank/Grade or Title

5.) Mailing Address *

Street Address City State / Province / Region Postal / Zip Code

6.) Phone *

### - ### - ####

7.) Email *

8.) Is anyone in your party an EC-47 program (aircrew or ground support) veteran?

Yes - TEWS

Yes - USAFSS

No

9.) Total Number attending the FREE THURSDAY EVENING MIXER 4-8 PM AT THE CLARION HOTEL? *

Include yourself in this number. If none, enter a zero.

10.) Total Number attending the FREE FRIDAY MORNING COMMEMORATION CEREMONY & RECEPTION AFTERWARDS AT GOODFELLOW AFB? *

Include yourself in this number. If none, enter a zero.

11.) Total Number attending the FRIDAY EVENING RECEPTION AND DINNER AT THE CLARION HOTEL @ $25.00 PER PERSON? *

If none, enter a zero. Include yourself in this number. Make mail payment to: Heritage Chapter-FTVA, P.O. Box 2469, San Angelo, TX 76902. You may also pay for this meal at the reception on Thursday or Friday nights.
FMI: Wayne @ 325 262-2641

12.) If you purchased a Weyandt-Eddy Memorial Plaza paver, please enter the paver size and location number or engraved plate name here.

13.) ENTRY TO GOODFELLOW AFB REQUIRES A CURRENT VALID DEPARTMENT OF DEFENSE PICTURE ID CARD OR A GOODFELLOW AFB VISITOR PASS FOR EACH ATTENDEE. Do you or anyone in your party need a base pass? *

Yes

No

If yes, please enter the Base Access List identifying information for each attendee needing a pass in Block 14 below.

14.) Base Access List: Full name, date of birth, last 4 digits of SSAN, Driver License Number and State of Issue.

Enter the full name, date of birth, last 4-digits of social security number, driver's license number and state of issue for each attendee 16 years old and older. Ages 14-16 require school ID. Under age 14 attendees must be with a parent or guardian.

15.) Name tags - Enter the First & Last name of each attendee. *

Name tags will be available at check-in for the Thursday evening reception and the Friday events.

16.) Are you or is anyone in your party a military veteran who served on active duty between 1 November 1955 and 15 May 1975 and has not been presented a Vietnam War Commemorative lapel pin? *

Yes

No

If yes, please submit an online Vietnam War Commemorative Lapel Pin Registration form for each veteran at: https://www.vietnam50thcpp.com/vietnam-veteran-lapel-pin

17.) Are you or is anyone in your party an immediate family member (i.e., parents, spouses, siblings, children) of a veteran who is listed on the Vietnam Veterans Memorial in Washington, D.C.? *

Yes - Have received Gold Star lapel pin & certificate

Yes - Have not been presented the Gold Star lapel pin & certificate

No

If yes and you have not been presented with this Gold Star lapel pin and certificate, please submit an online registration form. A program representative will also contact you for more information, if needed. https://www.vietnam50thcpp.com/in-memory-of

18.) Are you or is anyone in your party a surviving spouse at the time of death of a military veteran who served on active duty between 1 November 1955 and 15 May 1975 and have not been presented a Vietnam War deceased Vietnam veteran surviving spouse (DVVSS) Certificate of Honor and commemorative lapel pin? *

Yes - Have received Blue Star lapel pin & certificate

Yes - Have not been presented the Blue Star lapel pin & certificate.

No

If yes and you have not been presented with the Blue Star lapel pin and certificate, please submit an online registration form. A program representative will also contact you for more information if needed. https://www.vietnam50thcpp.com/vietnam-veteran-surviving-spouse

19.) Special needs / Comments

Do you or does anyone in your party need a wheelchair, walker, oxygen or other special assistance while attending any of these events? Please clarify in this block.

Thank you for this RSVP. Please contact us if you have questions or just want more information.
If you are using the mail-in RSVP Form, please complete all sections and send with any payment due to:

The Heritage Chapter-FTVA
P.O. Box 2469
San Angelo, TX 76902

Tom @ 325 450-4476 or Wayne @ 325 262-2641

Thank you for this RSVP. Please contact us if you have questions or just want more information. If you are using the mail-in RSVP Form, please complete all sections and send with any payment due to: The Heritage Chapter-FTVA P.O. Box 2469 San Angelo, TX 76902

Thank you for this RSVP. Please contact us if you have questions or just want more information.
If you are using the mail-in RSVP Form, please complete all sections and send with any payment due to:

The Heritage Chapter-FTVA
P.O. Box 2469
San Angelo, TX 76902