ASSOCIATE MEMBERSHIP FORM

We're glad that you decided to become a member of the LZ Russell Association.  Your LZ Russell Associate Membership shows that you respect the Spirit of LZ Russell and in that spirit, you become one of us.  Your membership puts you on our mailing list for important information concerning events and projects.  Your privacy is respected at LZ Russell and your email address and other contact data will NOT be abused.  We hope you take the time to give us all the information requested.

Items in bold are required

Title: (Mr., Mrs., Dr., Rev., Col.,etc.) 

First Name:       Last Name: 

Postal Address line 1:

Postal Address line 2:

City:     State:    Postal Code: Country:  

Email:   Age/Sex:

Please complete the boxes that apply to you.

I am a Vietnam War Veteran. 

Tell us about when you were there, service branch, rank, the unit(s) you were with, your activities there, medals you received and any interesting notes you might want to add.

I now serve, or have served in the U.S. Military, or the Military of another nation.

Please tell us about your military service.

I have a  relative or friend who is a living or deceased LZ Russell Association Member.  

His/Her name:

I would like to participate in LZ Russell Humanitarian Projects at home, or abroad.

Enter additional comments here.  If you have a personal web page, enter the URL here.

I would like to make a donation pledge of $