Membership Application

Department of Maine Membership Application
Please complete the appropriate entries

First Name Middle Name Last Name Suffix
Address *

Street Address

Street Address Line 2

City State

Zip Code Country
Date of Birth *

Month Day Year
Date
Email
example@example.com
Phone Number

Area Code Phone Number
Service Era *

Global War on Terror Gulf War Panama Lebanon/Grenada Vietnam Korea WWII Other Conflicts
Branch of Service *

U.S. Army U.S. Navy U.S. Air Force U.S. Marines U.S. Coast Guard
Have you ever been a Member of The American Legion? *

Yes No
*
By joining The American Legion, Dept. of Maine, you are automatically placed in Headquarters Post 178. If you wish to transfer to a local post, please select the Post of interest below. Once your 9-digit membership ID# has been established Headquarters will notify the Post. If you wish to remain at HQ, choose "Stay at HQ Post 178".
Payment Options:
1. Click on the Submit Payment button below to pay with PayPal or Debit/Credit Card. If paying with Debit/Credit card make sure to select Pay with Debit or Credit Card below Pay with Paypal section. Or
2. Mail completed form with payment in the amount of $40 payable to The American Legion, Department of Maine Post 178 to: The American Legion, Department of Maine, 5 Verti Drive, Winslow, Maine 04901-0727. To print a copy of your form click on the Print Form button below.
Payment Amount

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USD Post 178 Annual Dues $40.00
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