American Legion Auxiliary Application for Membership

Please type or print:
Mrs./Miss/Ms ________________________________________________________
                                                  (Applicant's Full Name)
(Birthdate) ___________________________________________
(Mailing Address) _____________________________________________________
                                             (City) (State) (Zip) (Unit Number/Location)

Phone Home: _____________________          Work: ________________________
I am eligible for membership through the military service of        ____________________________________________________________________
                               (Full Name)                  [ ] Living      [ ] Deceased

He/She is a member of: ________________________ ________________________
(American Legion Post) (Post #) (City) (State) Living or Deceased, served in:
[ ] WWI (4/6/17-11/11/18)
[ ] WWII (12/7/41-12/31/46)
[ ] Korea (6/25/50-1/31/55)
[ ] Vietnam (2/28/61-5/7/75)
[ ] Grenada/Lebanon (8/24/82-7/31/84)
[ ] Panama (12/20/89-1/31/90)
[ ] Persian Gulf War (8/2/90 until cessation of hostilities) Applicant's Relationship to the Veteran
[ ] Mother
[ ] Wife
[ ] Sister
[ ] Daughter
[ ] Granddaughter
[ ] Great-Granddaughter
[ ] Grandmother
[ ] Self
(Step-relatives are eligible). I certify that the above named individual served at least one day of active duty during the dates marked above and was honorably discharged. __________________________ ___________ __________________________ ___________
(Signature of Applicant) (Date) (Post Officer Membership Verification (Date)
or Unit Secretary Verification for Female Veterans Only)