The American Legion Membership Application

                                                           
                                                           Please check: ____ New membership
                                                                                               ____ Membership renewal     


    ___________________________________________________             _______________________
                             Name - Printed                                                                        Phone


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                             Mailing Address                                                                  Date


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    City                            State                           Zip


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                                  E-mail

            
                    Post #1009, Yorktown Heights, N.Y.                  Dues  $ 46.00


    Please check appropriate eligibility dates and branch of service below.           

    ____Aug.  2, 1990 - Cessation of hostilities as determined by U.S. Government
    ____Dec. 20, 1989 - Jan. 31, 1990
    ____Aug. 24, 1982 - July 31, 1984                                     ____U.S. Army
    ____Feb. 28, 1961 - May 7, 1975                                       ____U.S. Navy
    ____June 25, 1950 - Jan. 31, 1955                                      ____U.S. Air Force
    ____Dec. 7, 1941 - Dec. 31, 1946                                       ____U.S. Marines
    ____April 6, 1917 - Nov. 11, 1918                                     ____U.S. Coast Guard

               I certify that I served at least one day of active military duty during the dates marked
    above and was honorably discharged, or am still serving honorably.


                                                                _____________________________________________
                                                                                           Signature of Applicant


                                       Mail payment and application to:

                                    American Legion Post #1009
                                    235 Veterans Road
                                    Yorktown Heights, N.Y. 10598