Membership Application

Department of Maine Membership Application
Please complete the appropriate entries

First NameMiddle NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Date of Birth*

MonthDayYear
Date
Email
example@example.com
Phone Number

Area CodePhone Number
Service Era*

Global War on TerrorGulf WarPanamaLebanon/GrenadaVietnamKoreaWWIIOther Conflicts
Branch of Service*

U.S. ArmyU.S. NavyU.S. Air ForceU.S. MarinesU.S. Coast Guard
Have you ever been a Member of The American Legion?*

YesNo
Recruited By
Include First and Last Name and Membership ID Number
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 $55 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

prevnext( X )
USDPost 178 Annual Dues $55.00
Should be Empty:

Department of Maine Membership Application