On-Line Download Mail-In Form - Post 759

2006 Membership Application

Mail Completed Application to:

The American Legion
Post 759
Attn: Membership
PO Box 402
Chatham, Illinois  62629

Please Print and Complete the Appropriate Entries:

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

Mailing Address:____________________________________________________________________

City: ________________________________State: __________Zip: _______________

Home Phone:  (_________)______________________________

My annual dues of $30.00 are paid by:
        Personal Check     Money Order     Cashiers Check
 
 
 
          Charge Amount: $30.00

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:___________________