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Prospective members may fill out the membership
         application below and bring it to a nearby post. To find a
         post near you, visit legion.org/posts.


         Alternatively, those who meet the eligibility requirements,
         may join online at legion.org/join.
         Or call 1-800-433-3318  ¨  Global War on Terror     Please check appropriate service era and branch of service below   honorably discharged or am still serving honorably.  ¨  I certify that I served at least one day of


           30-009



               ¨  WWII
                 ¨  Korea
                   ¨  Vietnam

                      ¨  Panama
                       ¨  Gulf War
           30-009

               ¨  WWII
                 ¨  Korea

                       ¨  Gulf War
                      ¨  Panama

                   ¨  Vietnam
              ¨  Other Conflicts
                    ¨  Lebanon/Grenada
                                    (City)






              ¨  Other Conflicts
         Signature of applicant
                    ¨  Lebanon/Grenada
                                    (City)

                         ¨  Global War on Terror






         Signature of applicant

                                             (Name)
                                (E-mail)

                                        (Mailing Address)
                                             (Name)
                       ¨  U.S. Navy
                         ¨  U.S. Army
                                        (Mailing Address)
         Date
                    ¨  U.S. Marines
                      ¨  U.S. Air Force
                            honorably discharged or am still serving honorably.
                       ¨  U.S. Navy
                         ¨  U.S. Army
                   ¨  U.S. Coast Guard
         Date
                    ¨  U.S. Marines
                      ¨  U.S. Air Force
                   ¨  U.S. Coast Guard
                                    (State)
                                 __________________________________________________
                 ¨  Merchant Marines (WWII only)
                                (Gender)
                                    (Zip)
                 ¨  Merchant Marines (WWII only)
                                (Gender)
                                    (Zip)
         Name of recruiter
                           Please check appropriate service era and branch of service below
                                (Dues)
         Name of recruiter
                                    (Post #)
                                (Dues)
                                 ¨  Male    ¨  Female _______________
           ________________________________  ___________________ ______________________________
                                        (Phone Number)
                              ¨  I certify that I served at least one day of active military duty since December 7, 1941 and was
                                             (Date of Birth)
                                    (Post #)
                                 ¨  Male    ¨  Female _______________
           ________________________________  ___________________ ______________________________
                       Receipt of Dues (State)   _____________________________________________________________________ _____________  (Phone Number)  _______________________________________________________________ ______________
                           (Please Print)
                       Receipt of Dues
                           (Please Print)
          From __________________________________________________________
          From __________________________________________________________
          $__________________ for 20____  Post # ___________________________
          $__________________ for 20____  Post # ___________________________
          Recruiter’s Name ______________________________________________
          Recruiter’s Name ______________________________________________
          Recruiter’s Signature ___________________________________________
          Recruiter’s Signature ___________________________________________
          Recruiter’s Phone # ____________________________________________
          Recruiter’s Phone # ____________________________________________
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