On-Line Download Mail-In Form - Post 161

2005 Membership Application   -  Mail completed application to:

The American Legion
Harding-Noia Post 161, California
Attn: Membership
PO Box 122
Antioch, CA 94531

Please print and complete the appropriate entries:

First Name: ______________________   Middle Initial: ___   Last Name:________________________

Mailing Address:____________________________________________________________________

City: ________________________________State: __________Zip: _______________

Home Phone:  (_________)______________________________

 
My annual dues of $25.00 are paid by:
        Personal Check     Money Order     Cashiers Check
 
          Visa   Mastercard    Expiration Date: ____________________
      
          Card Number: __________________________________________
 
          Charge Amount: $25.00

Eligibility Dates:
   August 2, 1990 - Open Persian Gulf War
   Dec. 20, 1989 - Jan. 31, 1990 Panama
   Aug. 24, 1982 - Jul. 31, 1984 Grenada/Lebanon
   Feb. 28, 1961 - May 7, 1975 Vietnam War
   June 25, 1950 - Jan. 31, 1955 Korean War
   Dec. 7, 1941 - Dec. 31, 1946 World War II
   Apr. 6, 1917 - Nov. 11, 1918 World War I

Branch Of Service:
   U.S.Army
   U.S.Navy
   U.S.Air Force
   U.S.Marines
   U.S.Coast Guard

 I certify that I have served at least one day of active military duty during the
date(s) marked above and was honorably discharged or still serving honorably.

          Signature of Applicant___________________________________  Date:___________________