About
Chain Of Command
Communications
RECOMMENDATION PAGE
>
Claim Preparation
John Wells Bio
Katrina
Contact
Facebook
Membership
Questionnaire
Rules
Files and Documents
Wilkie Letter
CLAIMS
>
ED Ball's Presentation
CLAIMS FAQ
Reopen VA Claim
INFO FROM JOHN WELLS
Glossary
Aussie & Russian Studies
Claims
Distillation Systems
Navy Chemicals
Reports
Special Files
Testimonies from Veterans on AO
VA
M21 Manual
Legal
Court Documents
Wells & MVA
Science
How Blue Water Navy Ships were exposed to Agent Orange
Science Is There Files
Locations
Bases
Guam
Thailand
Naval Info
Ships Covered
Carriers
IN MEMORIAM
H.R. 299
Annual Meeting 2018
Newsletter
Links
Members Videos
Letters
What Should I do
Illinesses
Prostate Cancer
Reports
Blog
Chemicals
Military Veterans Advocacy Seminar
Receiving Benefits
Master Ship List
Ship Locator List
Request Deck Log
Gun Fire Support Ships
Blue Water Navy - Guam
Master Ship List (Subs)
Aircraft Carrier (VSM)
New Master Ship List
Membership
HR-299- The Bill
New Page
Please Fill It Out Completely
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Which MVA Section
*
Blue Water Navy Association™
Agent Orange Survivors of Guam™
Other
Military Veterans Advocacy® ONLY
Veterans of South East Asia™(Thailand)
Veterans of Panama Canal Zone™
Which Branch of Service
*
Navy
Marine Corps
Army
Air Force
Coast Guard
Merchant Marines
Other (Add in Comments)
Type
*
Veteran
Active Duty
Spouse
Widow
Child
Sibling
Friend or Other
Duty Station
*
Conflict - Choose Any
*
World War II
Korea
Vietnam
Operation Desert Storm/Desert Shield
Operation Iraqi Freedom
Operation Enduring Freedom
Cold War
Other (add in Comments)
Peace TIme
Years Served
*
Deployments
*
Do you have any Chronic Illness that requires Medical Services
*
Yes
No
Possible Exposure to:
*
Agent orange
Radiation
Burn Pits
Lead
Other Toxic Exposure (Add to Comments)
Which VSO do you belong to
*
VFW
DAV
America Legion
FRA
MOAA
PVA
VVA
Other (Enter in Comments)
Comment and Notes
*
Referred By
*
I have read the rules and agree to them, See below to go to the Rules Page
*
Yes
No
Have you Paid your Dues and if so HOW.
*
Have NOT Paid
Paid By PayPal
Paid by Check
Paid by Other Means
How Did You Hear About Us
*
Word of Mouth
Search of the Web
Search on Facebook
Saw on another Facebook Page
Brochure
In an Article or News Report
Submit
Go here to read the rules of MVA
About
Chain Of Command
Communications
RECOMMENDATION PAGE
>
Claim Preparation
John Wells Bio
Katrina
Contact
Facebook
Membership
Questionnaire
Rules
Files and Documents
Wilkie Letter
CLAIMS
>
ED Ball's Presentation
CLAIMS FAQ
Reopen VA Claim
INFO FROM JOHN WELLS
Glossary
Aussie & Russian Studies
Claims
Distillation Systems
Navy Chemicals
Reports
Special Files
Testimonies from Veterans on AO
VA
M21 Manual
Legal
Court Documents
Wells & MVA
Science
How Blue Water Navy Ships were exposed to Agent Orange
Science Is There Files
Locations
Bases
Guam
Thailand
Naval Info
Ships Covered
Carriers
IN MEMORIAM
H.R. 299
Annual Meeting 2018
Newsletter
Links
Members Videos
Letters
What Should I do
Illinesses
Prostate Cancer
Reports
Blog
Chemicals
Military Veterans Advocacy Seminar
Receiving Benefits
Master Ship List
Ship Locator List
Request Deck Log
Gun Fire Support Ships
Blue Water Navy - Guam
Master Ship List (Subs)
Aircraft Carrier (VSM)
New Master Ship List
Membership
HR-299- The Bill
New Page