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| AMERICAN LEGION AUXILIARY MEMBERSHIP APPLICATION | |||||
| Name: D.O.B.: | |||||
| Address: Senior (over 18) | |||||
| City, State, Zip: | |||||
| Phone: E-Mail: | |||||
| I am eligible through the military service of | |||||
| Who is Living Deceased and served in: | |||||
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| He/She is a member of American Legion Post located in | |||||
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| I hereby certify that the above named individual served at least one day of active duty during the dates marked above and was honorably discharged. | |||||
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____________________________________________________ (Signature of Applicant) (Date) |
Enclosed is $ as annual membership dues. | ||||
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_____________________________ _____________ ___________________________ __________ Recruiter's Name Unit/Post # City State |
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____________________________________________ Date: _____________________ (Post Officer Membership Verification or Unit Sec'y Verification for Female Veterans Only) |
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| Upon completion, print the form using your browser's print function. Make 2 copies, 1 for your records and 1 to submit to the Post. | |||||
| Last updated: 3/4/07 | |||||