Legion Membership
Name
*
First Name
Middle Name
Last Name
Date of Birth
*
/
Month
/
Day
Year
Date Picker Icon
Gender
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
E-mail
Branch of Service
*
Select Branch of Service
US ARMY
US AIR FORCE
US COAST GUARD
US MARINE CORPS
US MERCHANT MARINE
US NAVY
Date of Service
*
Select Date of Service
DECEMBER 7, 1941 TO DECEMBER 31, 1946
JUNE 25, 1950 TO JANUARY 31, 1955
FEBRUARY 28, 1961 TO MAY 7, 1975
AUGUST 24, 1982 TO JULY 31, 1984
DECEMBER 20, 1989 TO JANUARY 31, 1990
AUGUST 2, 1990 TO PRESENT
Attach DD-214 or Discharge
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