Membership Application
First Name
*
Middle Initial
Last Name
*
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
City
*
State
*
Zip Code
*
Phone
*
EXT
Email
*
example@example.com
Relationship to veteran through whom eligibility is established
*
Name of Veteran
*
Eligibiity Information - (Legion office can help with this section)
Eligible Veteran Status
*
Alive
Deceased
Is the above veteran a member of the American Legion?
Please Select
Yes
No
What Post #?
Above veteran is deceased and served from these dates:
-
Month
-
Day
Year
Enrolled
To
-
Month
-
Day
Year
Discharged
Emergency Contact Info
Name
*
Relationship
*
Cell Phone
*
Legion Recruiter
*
Thank you for your decision to join the Sons of the American Legion!
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Submit
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