V.C.S.O.A of TEXAS MEMBERSHIP APPLICATION

ANNUAL MEMBERSHIP DUES $20.00 NEW RENEWAL ASSOC. $ 25.00

NAME: DATE OF BIRTH:

WORK PHONE ( ) CELL PHONE ( )

MAILING ADDRESS:

CITY/STATE/ZIP COUNTY

REGION HOME PHONE ( )

POSITION: * E-MAIL ADDRESS PLEASE MAIL CHECK OR MONEY ORDER to the Treasurer, and FOR ADDITIONAL INFORMATION contact:

(Treasurer) James Henderson, Dallas County Veterans Service Office

2377 N. Stemmons Frwy, Suite 631, 6th Floor, Lock Box 1, Dallas Texas 75207 (214) 819-1886 Fax (214) 819-2880

Veterans County Service Officers Association of Texas does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in membership or providing services.

MEMBER INFORMATION

APPOINTMENT DATE AS THE COUNTY SERVICE OFFICER or ASSISTANT CSO

DATE OF ORIGINAL MEMBERSHIP IN VCSOA

HAVE YOU EVER RECEIVED THE VSO OF THE YEAR? WHAT YEAR

(Lifetime Membership): A current or retired member who has attained 75 years of age and has or awarded the Dan Garcia Award, shall have paid for life membership..

Associate Member’s Title

ASSOCIATION CREED

FOR THE GOOD OF OUR PROFESSION AND THE STATE OF TEXAS, WE ASSOCIATE OURSELVES TOGETHER FOR THE FOLLOWING PURPOSE:

TO PROMOTE A HIGH STANDARD OF PROFESSIONAL CONDUCT AND THE EXCHANGE OF INFORMATION AND EXPERIENCE IN OUR PROFESSION;

TO MUTUALLY PRESENT FOR BENEFIT OF ALL VETERANS AND THEIR DEPENDENTS, OUR SUGGESTIONS, CONSTRUCTIVE CRITICISM, AND RECOMMENDATIONS FOR THE IMPROVEMENT OF OUR SERVICE;

TO FOSTER AND PERPETUATE THE NATIONS TRADITION OF SERVICE TO OUR SICK AND DISABLED COMRADES, AND THEIR DEPENDENTS AND SURVIVORS. (as of 3-08)

Name Tag Application (Do not use MAGNETICS with Pacemakers) (3-08)

Name: _______________________________________ Date

(PLEASE PRINT EXACTLY THE WAY YOU WANT THE NAME TAG TO READ)

Address:

Email address

County: ____________________________ Phone #

1. Blue Types: Pin-On Pocket Pocket w/ Magnetic

Magnetic (only) ($10.00 each)

Veterans Service Officer Assistant Veterans Service Officer

2. (Free RED NAMETAGS for Elected Association Board Members)

Pin-On Pocket Pocket w/ Magnetic Magnetic (only)

Title

3. Associate Member’s Title

NO SEAL/DECAL EMBLEM