American Legion Post 1864
Membership Application

To apply for membership in the American Legion print this page and return the completed application with
your annual dues ($35.00) to:

Membership Application
American Legion Post 1864
P.O. Box 1322
Parker, Co. 80134

[_]  Yes! I'll help my fellow veterans by becoming a member of the American Legion.

                   Name: ___________________________________

    Mailing Address:____________________________________

City, State and Zip:____________________________________

            Telephone:____________________

Branch of Service.

[_]    U.S. Army
[_]    U.S. Navy
[_]    U.S. Air Force
[_]    U.S. Marines
[_]    U.S. Coast Guard
[_]    U.S. Merchant Marine - December 7,1941 -  August 15,1945 (Only eligibility)

Dates of Service.

[_]    AUGUST 2,1990 - Cessation of hostilities as determined by U.S. Government.
[_]    DECEMBER 20,1989 - JANUARY 31,1990
[_]    AUGUST 24,1982 - JULY 31,1984
[_]    FEBRUARY 28,1961 - MAY 7,1975
[_]    JUNE 25, 1950 - JANUARY 31, 1955
[_]    DECEMBER 7,1941 - DECEMBER 31,1946
[_]    APRIL 6, 1917 - NOVEMBER 11, 1918

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

______________________________________     Date: ___/___/_____  
       Signature of Applicant