| For God and Country The American Legion The World’s Largest Veteran’s Organization |
| NEW 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 am submitting thirty ($30.00) dollars for annual membership in the American Legion, along with a copy of my DD-214 discharge form, or a copy of my current Military Identification Card to: ORLAND MEMORIAL POST 111, P.O. BOX 413, ORLAND PARK, IL 60462 Prefix: (Ex: Dr, Rev, Mr.) ______ First Name __________________ Middle Initial _____ Last Name ________________________ Suffix (Ex: Sr, Jr, 111) ______ Date of Birth (MM/DD/YYYY) ____/____/________ Address Line 1 _____________________________________________________________________ Address Line 2 _____________________________________________________________________ City ________________________________State _________Zip Code_________ Phone No. (_____)____________________E-Mail_________________________ Dates of Service Branch of Service ___ Aug 2, 1990 to Present ___ US ARMY ___ Dec 20, 1989 to Jan 31, 1990 ___ US AIR FORCE ___ Aug 24, 1982 to Jul 31, 1984 ___ US COAST GUARD ___ Feb 28, 1961 to May 7, 1975 ___ US MARINE CORPS ___ Jun 25, 1950 to Jan 31, 1955 ___ US NAVY ___ Dec 7, 1941 to Dec 31, 1946 ___US MERCHANT MARINES (12/41 to 12/46) (Signed) __________________________________Date_____________ |
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