On-Line Printable Mail-In Form - Post 192

American Legion New Membership Application

 Mail completed application to:

American Legion  Post 192

Attn:  Adjutant

PO Box 458

Evans, Ga. 30809

 Please print and complete the appropriate entries:

First Name: ____________________________________________   DOB______________________

Mailing Address:____________________________________________________________________

City: ________________________________State: __________Zip: _______________

Home Phone:  (_________)______________________________E-Mail________________________

Copy of DD 214

 
My annual dues of $30.00 are paid by:
   
Personal Check      Money Order        Cashiers Check       Cash
 
 

Dues Collected by:_______________________________________

Eligibility Dates:

   August 2, 1990 - Open Persian Gulf War
   Dec. 20, 1989 - Jan. 31, 1990 Panama
   Aug. 24, 1982 - Jul. 31, 1984 Grenada/Lebanon
   Feb. 28, 1961 - May 7, 1975 Vietnam War
   June 25, 1950 - Jan. 31, 1955 Korean War
   Dec. 7, 1941 - Dec. 31, 1946 World War II
   Apr. 6, 1917 - Nov. 11, 1918 World War I

Branch Of Service:
   U.S. Army
   U.S. Navy
   U.S. Air Force
   U.S. Marines
   U.S. Coast Guard

 I certify that I have served at least one day of active military duty during the
date(s) marked above and was honorably discharged or still serving honorably.

          Signature of Applicant___________________________________  Date:___________________ 

 

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