Transgender American Veterans Association - Join
T ransgender A merican
V eterans A ssociation

Or Renew Your Membership

New members, fill out the entire form then submit.  ( * Required entry)

* Membership Type:

* Todays Date:


* Legal Name:

* Preferred Name:

* Address Line 1:

   Address Line 2:

* City:

    * State:  

* ZIP Code:

* Phone:

* Email:

   Branch Of Service:

* Membership Level:
    Special Lower Rate is for those people who cannot afford
    the Basic Membership Level, TAVA offers a sliding scale
    from $1 to $25.  The Membership Chair will contact you
    and discuss this further.

   Date of Birth:


   Date of Discharge:


   Military Status:

   Your Website Name & URL:

   Do you have any special skills or talents that
   would be of use to TAVA in helping Veterans?

   Do you have any special needs that TAVA
   should know about?

   Special Feedback or Requests:


If you are not able to use this form, please send your information to
using your own email program.

Please send a check or money order for the Membership Level you elected made out to "TAVA"
then mail it to:

PO Box 4513
Akron, Oh 44310


You may use your credit/debit card to make your membership payment.
Click on the image below to make your secure payment.

Copyright © 2003-2005 - Transgender American Veterans Association.  All rights reserved.