Please return completed application to:

The American Legion

             RR1 P.O. Box 1833,

            Laceyville, Pa. 19623

    AMERICAN LEGION

MEMBERSHIP APPLICATION

YES! I’ll help my fellow veterans by becoming a member of The American Legion.

I certify that I served at least I one day of active military duty during the dates marked below and was honorably discharged or am still serving honorably.

Please send my current membership card.

My $21.00 check or money order is enclosed.

Name _______________________________________________________________

Address ____________________________________________________________

City, State, Zip ___________________________________________________

Phone Number _____________________________

Birth Date  _________________________________

Dates of Service and Branch of Service

A copy of your DD-214 must accompany your Application

[  ] U.S. ARMY    [  ] U.S. NAVY   [  ] U.S. AIR FORCE   [  ] U.S. MARINES  [  ] U.S. COAST GUARD

[  ] U.S. MERCHANT MARINE — DEC. 7, 1941—DEC. 31, 1946

 

 [  ]  AUG 2, 1990—OPEN

 [  ]  DEC. 20, 1989—JAN. 31, 1990

 [  ]  AUG. 24, 1982—JUL. 31, 1984

 [  ]  FEB. 28, 1961—MAY 7, 1975       

 [  ]  APR. 6, 1917—NOV. 11, 1918

 [  ]  JUNE 25, 1950—JAN. 31, 1955

 [  ]  DEC. 7, 1941—DEC. 31, 1946

 

Signature __________________________________________________________

Please tell us how/where you heard about The American Legion or who told you about us: