Membership Application



  
YES! I'll help my fellow veterans by becoming a member of The American Legion. I certify by forwarding this application that I served at least one day of active military duty during the dates marked below and was honorably discharged or am still serving honorably.

I have enclosed $20 for membership in The American Legion. All fields must be complete in order for billing to be accomplished. Also, this is NOT a credit card transaction and no charge information should be provided at this time. Thank you.

Name: 
                                                         E-mail:                                             

Mailing Address: 
                                                                                                    

City:
                                        State:                          Zip:                                

Please select the appropriate boxes below:

Dates of Service
-                                             Branch of Service

           Aug. 2, 1990 - Open                                         US Army
           Dec. 20, 1989 - Jan. 31, 1990                            US Navy 
           Aug. 24, 1982 - Jul. 31, 1984                              US Marine Corps
           Feb. 28, 1961 - May 7, 1975                              US Air Force
           June 25, 1950 - Jan. 31, 1955                             US Coast Guard
           Dec. 7, 1941 - Dec. 31, 1946                              US Merchant Marine (Dec 7, 41 -
           Apr. 6, 1917 - Nov. 11, 1918                                            Aug 16, 45)



Signature:
                                                         Date: